Mary Beth Trace

NPI #1891451845 in Wellston, Ohio

Provider Information

NPI Number: 1891451845
Entity Type: Individual
Name: Mary Beth Trace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 15, 2021
Last Updated: Nov 15, 2021

Practice Location

Address: 21801 STATE ROUTE 93
City: Wellston
State: Ohio
ZIP Code: 45692-9015
Phone: (740) 988-0267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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