Tracy Alexis Jade Larry

NPI 1205276813 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1205276813
Gender Female
Enumeration Date 06/27/2013
Last Updated 06/27/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
34 W 139TH ST
NEW YORK NY, 10037-1508, US
Phone (212) 690-7234
Fax
Business Location
500 W 148TH ST
#5C
NEW YORK NY, 10031-4107, US
Phone (917) 602-0100
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Miss Tracy Alexis Jade Larry NPI is 1205276813, taxonomy code is 390200000X Tracy Alexis Jade Larry physically located at 34 W 139th St, New York NY, 10037-1508. NPI Number Tracy Alexis Jade Larry has the Individual type.

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1205276813 NPI number is provided on an as is basis without warranty of any kind. 1205276813 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Alexis Jade Larry are for informational purposes only.