TRACY VICKERS

Technician - Attendant Care Provider

Active Individual
NPI: 1669074498

Practice Address

2690 S PEMBROOK AVE
Springfield, MO 65807

Phone: (417) 230-3728

Specialties

Specialty Code Primary License
Technician - Attendant Care Provider 3747A0650X Yes -

Frequently Asked Questions

NPI 1669074498 is the National Provider Identifier for TRACY VICKERS, a Technician - Attendant Care Provider provider located in Springfield, MO. This NPI was enumerated on November 16, 2020.
TRACY VICKERS practices at 2690 S PEMBROOK AVE, Springfield, MO 65807.

Quick Facts

NPI
1669074498
Type
Individual
Enumerated
Nov 16, 2020
Last Updated
Nov 23, 2020

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