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Individual

MRS. ALESHA ERICA TUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
710 FARMHURST DR, CHARLOTTE, NC 28217-4952
(443) 413-2110
Mailing address
8205 VINOY BLVD, APT#304, CHARLOTTE, NC 28262-4010
(443) 413-2110

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239698
NC

Other

Enumeration date
01/06/2011
Last updated
01/06/2011
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