KEVIN SCOTT TRACY

TUBA CITY, AZ
NPI1114253572
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC0400X Registered Nurse, Case Management
(Licence: MO  135534)
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
-- KEVIN SCOTT TRACY R.N.
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
Mailing Address
-- KEVIN SCOTT TRACY R.N.
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501