Individual
TRACEY LOU MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 RENAISSANCE DR STE D, LAS VEGAS, NV 89119-6750
(480) 622-9279
(702) 434-3530
Mailing address
2255 RENAISSANCE DR STE D, LAS VEGAS, NV 89119-6750
(480) 622-9279
(702) 434-3530
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
10/14/2020
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