Individual
KOURTNEY L TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1987 COUNTY ROAD 4152, SIMMS, TX 75574-3525
(903) 276-0635
Mailing address
1987 COUNTY ROAD 4152, SIMMS, TX 75574-3525
(903) 276-0635
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
698937
TX
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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