Individual
TRACEY DENISE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BUSINESS ASSOCIATES
Contact information
Practice address
414 SWANSON ST, MARTINSVILLE, VA 24112-2533
(276) 734-9276
Mailing address
414 SWANSON ST, MARTINSVILLE, VA 24112-2533
(276) 734-9276
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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