TRACY WALLACE

DETROIT, MI
NPI1326481755
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA2000X Registered Nurse, Administrator
(Licence: MI  4704197701)
Enumeration Date2013-04-16
Last Update Date2013-04-16
Business Address
-- TRACY WALLACE
15400 W MCNICHOLS RD
DETROIT, MI 48235-3724
Phone number: 313-732-8272
Mailing Address
-- TRACY WALLACE
4779 GLENDALE
DETROIT, MI 48238
Phone number:
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