Individual
TRACY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9499 W CHARLESTON BLVD, STE 200, LAS VEGAS, NV 89117-7150
(702) 933-9393
(702) 933-6789
Mailing address
9499 W CHARLESTON BLVD, STE 200, LAS VEGAS, NV 89117-7150
(702) 933-9393
(702) 933-6789
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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