TRACEY KING

MEDFORD, NY
NPI1669805917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  301073)
Enumeration Date2013-08-09
Last Update Date2013-08-09
Business Address
-- TRACEY KING
80 WILSON AVE
MEDFORD, NY 11763-1095
Phone number: 631-320-0535
Mailing Address
-- TRACEY KING
80 WILSON AVE
MEDFORD, NY 11763-1095
Phone number: 631-320-0535