Most Relevant Information
Provider Data
| NPI Number: | 1003053919 |
| Provider Name: | TRACY DENISE WHEELER CNA/ HHA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | CNA123933 |
Most Important Dates
| Enumeration Date: | 01/14/2009 |
| Last Updated: | 01/14/2009 |
Provider Practice Location
328 AVENUE B
WAVERLY
FL
33877
Practice Location Phone/Fax
| Phone: | 8635140994 |
| Fax: |
Provider Mailing Location
2410 LUCERNE PARK RD
WINTER HAVEN
FL
338811666
Provider Mailing Phone/Fax
| Phone: | 8635140994 |
| Fax: |