Individual
TRACY HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 JACKIE RD SE, 7403, RIO RANCHO, NM 87124-6610
(505) 892-8411
(505) 891-5497
Mailing address
4025 JACKIE RD SE, 7403, RIO RANCHO, NM 87124-6610
(505) 892-8411
(505) 891-5497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
674
NM
Other
Enumeration date
10/19/2011
Last updated
10/07/2016
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