Tracy Charleston-blakes, | |
300 Candlewyck Dr Apt 1201, Kalamazoo, MI 49001-6800 | |
(269) 271-7178 | |
Not Available |
Full Name | Tracy Charleston-blakes |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 300 Candlewyck Dr Apt 1201, Kalamazoo, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467288902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703091237 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tracy Charleston-blakes, 300 Candlewyck Dr Apt 1201, Kalamazoo, MI 49001-6800 Ph: () - | Tracy Charleston-blakes, 300 Candlewyck Dr Apt 1201, Kalamazoo, MI 49001-6800 Ph: (269) 271-7178 |
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