Provider Information for 1568644359
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Ms. TRACEY R YORK MA CACII
Other Names:Former Name:Ms. TRACEY SHEAMAN SWOPE MA CACIISex: Female
NPI: 1568644359
Last Updated: 2019-06-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1568644359 | ||||||||||||||||
| Enumeration Date | 2007-12-04 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 200 NORTH SEVENTH STREET LEBANON, PA 17046 United States Phone: 717-273-1710 | Fax:717-273-1416 | ||||||||||||||||
| Primary Practice Address | 125 S 5TH ST READING, PA 19602 United States Phone: 610-685-2188 | Fax:610-685-2183 | ||||||||||||||||
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