MRS. Tracey Lynn Mcdonough, LPN

NPI #1902085194 in Shalimar, Florida

Provider Information

NPI Number
1902085194
Entity Type
Individual
Name
MRS. Tracey Lynn Mcdonough, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Oct 24, 2007
Last Updated
Oct 24, 2007

Practice Location

Address
150 RICHBOURG AVE
State
Florida
ZIP Code
32579-1221
Phone
(850) 833-4301

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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