Individual
ANDREW MARCELLOUS TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2501 N GREEN VALLEY PKWY STE 118, HENDERSON, NV 89014-2158
(702) 476-8809
Mailing address
2501 N GREEN VALLEY PKWY STE 118, HENDERSON, NV 89014-2158
(702) 476-8809
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
7854PCS3
NV
Other
Enumeration date
02/07/2020
Last updated
12/13/2023
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