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Individual

STEVEN LEE TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
17239 SHAVANO RANCH APT 8109, SAN ANTONIO, TX 78257
(210) 232-8226
Mailing address
17239 SHAVANO RANCH APT 8109, SAN ANTONIO, TX 78257
(210) 232-8226

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
584853
TX

Other

Enumeration date
03/14/2007
Last updated
07/08/2007
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