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Tracey Lou Mason

Case Manager/Care Coordinator in Las Vegas, NV. Individual provider (NPI-1).

NPI number1164078036
StatusActive
Last updated in NPPESOct 14, 2020

Details

NPI
1164078036
Entity type
Individual (NPI-1)
Name
Tracey Lou Mason
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 15, 2019
Certification date
Oct 14, 2020
Last updated
Oct 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2255 Renaissance Dr Ste D
Las Vegas, NV 89119-6750

Phone 480-622-9279 · Fax 702-434-3530

Mailing address

2255 Renaissance Dr Ste D
Las Vegas, NV 89119-6750

Phone 480-622-9279 · Fax 702-434-3530

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