Individual
TRACY SANDUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 TARZYN RD, FALLON, NV 89406-9418
(775) 232-0421
Mailing address
1125 TARZYN RD, FALLON, NV 89406-9418
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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