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Individual

MS. DELORES ANN TUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6300 CREEDMOOR RD, SUITE 170, RALEIGH, NC 27612-6730
(919) 906-4721
Mailing address
6300 CREEDMOOR RD, SUITE 170, RALEIGH, NC 27612-6730
(919) 906-4721

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102920
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8050545
NC
Enumeration date
05/12/2006
Last updated
05/17/2011
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