Individual
NICOLE TRACY HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3870 S MARYLAND PKWY STE B, LAS VEGAS, NV 89119-7573
(725) 867-6595
Mailing address
5516 HACKNEY CT, EL SOBRANTE, CA 94803-3821
(510) 396-7630
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14417
CA
152W00000X
Optometrist
743
NV
Other
Enumeration date
07/29/2012
Last updated
10/29/2024
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