Individual
TRACEY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2033 COUNTY ROAD 8, CANANDAIGUA, NY 14424-8209
(585) 295-3087
Mailing address
2033 COUNTY ROAD 8, CANANDAIGUA, NY 14424-8209
(585) 295-3087
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
607285
NY
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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