Tracy Parent

NPI #1902350721 in Gowen, Michigan

Provider Information

NPI Number: 1902350721
Entity Type: Individual
Name: Tracy Parent
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 10, 2016
Last Updated: Aug 10, 2016

Practice Location

Address: 15196 LARSEN AVE
City: Gowen
State: Michigan
ZIP Code: 49326-9701
Phone: (616) 301-5571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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