Individual
TRACY LEE NEILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 KEISLER DR STE 104, CARY, NC 27518-9306
(919) 747-9336
Mailing address
527 KEISLER DR STE 104, CARY, NC 27518-9306
(919) 747-9336
(984) 200-7575
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
NC
Other
Enumeration date
07/14/2020
Last updated
05/26/2021
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