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Individual

MS. HYACINTH TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12700 BRUNSWICK LN, BOWIE, MD 20715-2215
(443) 271-0045
Mailing address
12700 BRUNSWICK LN, BOWIE, MD 20715-2215
(443) 271-0045

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary

Other

Enumeration date
04/22/2024
Last updated
04/22/2024
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