Individual
JUANITA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 DIABLO CIR, LINCOLN, NE 68516-4821
(402) 440-6213
Mailing address
3920 DIABLO CIR, LINCOLN, NE 68516-4821
(402) 440-6213
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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