Individual
CIERA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 THOROUGHBRED ST, WAXAHACHIE, TX 75165-7541
(858) 333-2565
Mailing address
112 THOROUGHBRED ST, WAXAHACHIE, TX 75165-7541
(858) 333-2565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
947661
TX
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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