Jessica Lucile Tracy, LPN
NPI #1659192730 in Kelso, Washington
Provider Information
- NPI Number
- 1659192730
- Entity Type
- Individual
- Name
- Jessica Lucile Tracy, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 21, 2024
- Last Updated
- Oct 21, 2024
Practice Location
- Address
- 305 PACIFIC AVE S
- City
- Kelso
- State
- Washington
- ZIP Code
- 98626-1638
- Phone
- (360) 795-5008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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