Tracie R Valera, CEO

NPI #1023620093 in Suwanee, Georgia

Provider Information

NPI Number: 1023620093
Entity Type: Individual
Name: Tracie R Valera, CEO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: CEO
Enumeration Date: Aug 20, 2020
Last Updated: Aug 20, 2020

Practice Location

Address: 2979 SAVANNAH WALK LN
City: Suwanee
State: Georgia
ZIP Code: 30024-3658
Phone: (678) 662-5464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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