TRACY ANTONIO

LAS VEGAS, NV
NPI1932450582
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2012-09-23
Last Update Date2012-09-23
Business Address
-- TRACY ANTONIO
5455 S FORT APACHE RD # 108-12
LAS VEGAS, NV 89148-6408
Phone number: 702-353-8622
Mailing Address
-- TRACY ANTONIO
5455 S FORT APACHE RD # 108-12
LAS VEGAS, NV 89148-6408
Phone number: 702-353-8622
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