Tracey Long

NPI #1285448068 in La Vista, Nebraska

Provider Information

NPI Number: 1285448068
Entity Type: Individual
Name: Tracey Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Feb 3, 2025
Last Updated: Feb 3, 2025

Practice Location

Address: 10512 BRENTWOOD DR
City: La Vista
State: Nebraska
ZIP Code: 68128-5775
Phone: (402) 619-6482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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