Individual
QUANTISHA DENISE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
557 ASPINWALL RD, COLUMBIA, SC 29203-5487
(803) 722-9388
Mailing address
557 ASPINWALL RD, COLUMBIA, SC 29203-5487
(803) 722-9388
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
60178-59050
SC
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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