TRACY ICE

FRANKLIN, WV
NPI1710550017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-07-23
Last Update Date2021-07-23
Business Address
TRACY ICE
2379 SIPLE MOUNTAIN RD
FRANKLIN, WV 26807-7556
Phone number: 304-636-9326
Mailing Address
TRACY ICE
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326