Individual
TRACEY JO TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 PILOT RD, LAS VEGAS, NV 89119-3542
(702) 982-3292
Mailing address
250 PILOT RD, LAS VEGAS, NV 89119-3542
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN51428
NV
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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