TRACEY LORENA TELLO

ATLANTA, GA
NPI1417388232
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  146587)
Enumeration Date2013-12-04
Last Update Date2018-11-28
Business Address
Miss TRACEY LORENA TELLO CSFA, ST
931 MONROE DRIVE NE SUITE 102 #641
ATLANTA, GA 30308-7132
Phone number: 404-312-1633
Mailing Address
Miss TRACEY LORENA TELLO CSFA, ST
931 MONROE DR NE SUITE 102 #641
ATLANTA, GA 30308-1793
Phone number: 404-312-1633