Individual provider · Type 1 NPI

Tracey Lorena Tello, CSFA, ST

Surgical Physician Assistant · Atlanta, GA

NPI number 1417388232 Active

About NPI 1417388232

Tracey Lorena Tello, CSFA, ST's National Provider Identifier is 1417388232, issued on Dec 4, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Atlanta, GA. The record was last updated on Nov 28, 2018.