Individual
TRACY ZANETA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
5624 7TH AVE, FORT MYERS, FL 33907-2927
(561) 939-9510
Mailing address
2135 DAVIS ST, FORT MYERS, FL 33916-4413
(239) 355-0686
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
234643
FL
Other
Enumeration date
10/25/2017
Last updated
03/13/2023
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