TRACIE BRACKENRICH HUMPHREY

CHARLESTON, WV
NPI1770153611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-07-01
Last Update Date2021-07-01
Business Address
TRACIE BRACKENRICH HUMPHREY
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
Mailing Address
TRACIE BRACKENRICH HUMPHREY
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200