Tracey, Amanda

Tracey, Amanda is an individual health care provider with primary practice located at Highway 264, Milepost 388 Laboratory, Polacca AZ 86042. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Laboratory Management, which is considered as her primary health care specialty. Tracey, Amanda can be contacted via phone (928) 737-6220.

Contact Information

Primary practice address
Highway 264, Milepost 388 Laboratory Polacca AZ 86042
Phone: (928) 737-6220
Fax: (928) 737-6047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Laboratory Management 246QL0900X

Profile Details

NPI number 1902121585
LBN Legal business name Tracey, Amanda
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2010
Last updated Apr 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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