Organization
DYEVSGLAM
Active
Other names
Dyevglam
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE GARDNER TUCKER (CRANIAL PROTHESIS SPECIALIST)
(484) 580-9818
Entity
Organization
Contact information
Practice address
150 ALLENDALE RD STE 3301, KING OF PRUSSIA, PA 19406-5048
(484) 580-9818
Mailing address
150 ALLENDALE RD STE 3301, KING OF PRUSSIA, PA 19406-5048
(484) 580-9818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
06/11/2025
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