TRACEY LYNN CAPPS

LAKE CITY, SC
NPI1497587596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: SC  1440)
Enumeration Date2024-08-16
Last Update Date2024-08-16
Business Address
TRACEY LYNN CAPPS LDO
900 US 52 HWY
LAKE CITY, SC 29560-5906
Phone number: 843-394-7626
Mailing Address
TRACEY LYNN CAPPS LDO
4562 OAK GROVE RD
EFFINGHAM, SC 29541-3820
Phone number: 843-687-5127