Individual
TRACEY DIANNE SPOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14914 W LISBON LN, SURPRISE, AZ 85379-6103
(623) 628-0708
(623) 777-8004
Mailing address
14914 W LISBON LN, SURPRISE, AZ 85379-6103
(623) 628-0708
(623) 777-8004
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
AZ
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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