Tracy, Angelina Raven

Tracy, Angelina Raven is an individual health care provider with primary practice located at 610 S 18Th St , Sparks NV 89431-5518. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Tracy, Angelina Raven can be contacted via phone (775) 409-4286.

Contact Information

Primary practice address
610 S 18Th St Sparks NV 89431-5518
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1013509876
LBN Legal business name Tracy, Angelina Raven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2021
Last updated Feb 3rd, 2021 - about 3 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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