Individual
MS. TRACI Y PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5830 BARBOSA DR UNIT 5, NORTH LAS VEGAS, NV 89031-4149
(702) 542-6677
Mailing address
5841 E CHARLESTON BLVD STE 230, LAS VEGAS, NV 89142-1049
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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