Individual
TRACY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N. RESERVATION RD, MCDERMITT, NV 89421
(775) 532-8522
(775) 532-8024
Mailing address
112 N. RESERVATION RD, MCDERMITT, NV 89421
(775) 532-8522
(775) 532-8024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN14234
NV
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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