TRACY SHANOHA LAVETTE WOFFORD

BROOKLYN PARK, MN
NPI1396134284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  R175874-6)
Enumeration Date2015-01-14
Last Update Date2015-01-14
Business Address
-- TRACY SHANOHA LAVETTE WOFFORD NP
10174 FLORIDA CIR N
BROOKLYN PARK, MN 55445-2767
Phone number: 612-803-9344
Mailing Address
-- TRACY SHANOHA LAVETTE WOFFORD NP
10174 FLORIDA CIR N
BROOKLYN PARK, MN 55445-2767
Phone number: 612-803-9344
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