TRACI MANCUSO

CAVE CREEK, AZ
NPI1619069226
Former NameTRACI PELCHAT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AZ  289174)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: WA  AP30006855)
Enumeration Date2006-09-29
Last Update Date2024-04-02
Business Address
TRACI MANCUSO APRN
4425 E VILLA CASSANDRA WAY
CAVE CREEK, AZ 85331-9564
Phone number: 206-755-6699
Mailing Address
TRACI MANCUSO APRN
4425 E VILLA CASSANDRA WAY
CAVE CREEK, AZ 85331-9564
Phone number: 206-755-6699