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Individual
ERIC TUCKER
Active
Individual
ERIC TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD LDN
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
L006231
NC
133V00000X
Registered Dietitian
Primary
L006231
NC
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
L006231
NC
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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