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Individual

MS. STEPHANIE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RCP

Contact information

Practice address
12011 LEE JACKSON HIGHWAY, FAIRFAX, VA 20120
(703) 383-5524
Mailing address
14435 SALISBURY PLAIN CT, CENTREVILLE, VA 20120-3243
(703) 383-5524

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
0117000749
VA

Other

Enumeration date
12/28/2010
Last updated
12/28/2010
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