Individual
MARIA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5137 N 16TH ST, PHILADELPHIA, PA 19141-1605
(215) 582-9779
Mailing address
5137 N 16TH ST, PHILADELPHIA, PA 19141-1605
(215) 582-9779
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
64953601
PA
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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