Individual
JENEEN LATISSA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 S MAIN ST STE 105, AKRON, OH 44308-1210
(513) 256-2022
Mailing address
860 AMHERST ST, AKRON, OH 44311-1412
(330) 957-2982
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
09/27/2022
Last updated
12/15/2022
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