Individual
MS. TRACY KLETZING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2900 LAMB CIR STE 250, CHRISTIANSBURG, VA 24073-6345
(540) 772-1514
Mailing address
4582 FRANKLIN RD SW, ROANOKE, VA 24014-5144
(540) 772-8052
(540) 772-4508
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002748
VA
Other
Enumeration date
06/03/2008
Last updated
07/14/2021
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