Angelina Raven Tracy

NPI #1013509876 in Sparks, Nevada

Provider Information

NPI Number
1013509876
Entity Type
Individual
Name
Angelina Raven Tracy
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Feb 3, 2021
Last Updated
Feb 3, 2021

Practice Location

Address
610 S 18TH ST
City
Sparks
State
Nevada
ZIP Code
89431-5518
Phone
(775) 409-4286

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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