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Tracy Jenkins, CEO
NPI 1790419075 · on the registry since 2022
Practice
- Address
- 6529 N Woodstock St
Philadelphia, PA 19138 - Phone
- (267) 345-5968
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-13
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 Pennsylvania