MARY TRACEY

PAGOSA SPRINGS, CO
NPI1134515984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO  APN.0993060-NP)
Enumeration Date2015-04-08
Last Update Date2018-03-17
Business Address
-- MARY TRACEY
52 VILLAGE DR
PAGOSA SPRINGS, CO 81147-8368
Phone number: 970-264-2104
Mailing Address
-- MARY TRACEY
8745 COUNTY ROAD 9 S
ALAMOSA, CO 81101-9610
Phone number: