Most Relevant Information
Provider Data
| NPI Number: | 1003556655 |
| Provider Name: | TRACEY RANEE DEAN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/31/2022 |
| Last Updated: | 03/31/2022 |
Provider Practice Location
521 4TH AVE
HINTON
WV
259512234
Practice Location Phone/Fax
| Phone: | 8544441431 |
| Fax: |
Provider Mailing Location
521 4TH AVE
HINTON
WV
259512234
Provider Mailing Phone/Fax
| Phone: | 8544441431 |
| Fax: |