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Tracey Bryant

NPI 1518581511 · on the registry since 2020 · sole proprietor

Practice

Address
1160 Rosewood St
Jackson, MS 39212
Phone
(601) 383-5815
Organisation at this address
Genesis Transportation Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-09

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 Mississippi