Individual
SARAH Y PUCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
131 TUCKER ST, SUITE 5, JACKSON, TN 38301-4055
(931) 388-6404
Mailing address
131 TUCKER ST, SUITE 5, JACKSON, TN 38301-4055
(931) 388-6404
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
APN0000011444
TN
207L00000X
Anesthesiology Physician
RN0000084350
TN
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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