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Tracey Wilkins Clark

NPI 1821525163 · on the registry since 2017 · sole proprietor

Practice

Address
4828 Regiment Ct
Woodbridge, VA 22193
Phone
(703) 307-1680
Fax
(703) 730-1449

Registry record

Primary taxonomy
224P00000X
224P00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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 Virginia