Individual
MRS. JILL TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 COUNTY LINE RD, TRAFFORD, AL 35172-8564
(205) 647-4496
Mailing address
2639 COUNTY LINE RD, TRAFFORD, AL 35172-8564
(205) 647-4496
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10652
AL
Other
Enumeration date
05/07/2013
Last updated
03/16/2021
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