Individual
GINA LOUISE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6720 PLACID ST, LAS VEGAS, NV 89119-3541
(702) 579-3292
Mailing address
6720 PLACID ST, LAS VEGAS, NV 89119-3541
(702) 579-3292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13272
NV
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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