Search › Michigan › 124Q00000X
Tracey Jacob, RDH
NPI 1124507421 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2850 Berkshire Dr
Bloomfield Hills, MI 48301 - Phone
- (586) 489-9868
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan