NPI 1023620093

Tracie R Valera, CEO

Practitioner Contractor Suwanee, GA

Practice location

Address: 2979 Savannah Walk Ln, Suwanee, GA 30024-3658
Phone: (678) 662-5464
Mailing address: 2090 Lawrenceville Suwannee Rd a #202, Suwanee, GA 30024

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1023620093
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2020
Record last updated: 20 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.