TRACIE JEAN WERNER

ISLIP, NY
NPI1649531443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  7889902)
Enumeration Date2012-06-07
Last Update Date2012-06-07
Business Address
-- TRACIE JEAN WERNER
17 W CEDAR ST
ISLIP, NY 11751-1801
Phone number: 631-379-8369
Mailing Address
-- TRACIE JEAN WERNER
17 W CEDAR ST
ISLIP, NY 11751-1801
Phone number: