Individual
MRS. TERESA MARIA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6740 FOLKS RD, HORTON, MI 49246
(517) 563-2378
Mailing address
PO BOX 132, HORTON, MI 49246
(517) 563-2378
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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