Most Relevant Information
Provider Data
| NPI Number: | 1003481342 |
| Provider Name: | TRACEY RICHARDSON YOUNG CNA |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/20/2021 |
| Last Updated: | 05/20/2021 |
Provider Practice Location
1529 NE 19TH LN
GAINESVILLE
FL
326093921
Practice Location Phone/Fax
| Phone: | 3525144332 |
| Fax: |
Provider Mailing Location
1529 NE 19TH LN
GAINESVILLE
FL
326093921
Provider Mailing Phone/Fax
| Phone: | 3525144332 |
| Fax: |