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 4 years ago
Practice Location
34 W 139TH ST
NEW YORK NY, 10037-1508, US
Phone (212) 690-7234
Business Location
500 W 148TH ST
NEW YORK NY, 10031-4107, US
Phone (917) 602-0100
Taxonomy Code 390200000X
License State
License Number
Remove 1205276813 NPI Number

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.