Individual
TAYLOR TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 NAVAJO TRL, COVINGTON, GA 30016-6917
(770) 369-3158
Mailing address
745 NAVAJO TRL, COVINGTON, GA 30016-6917
(770) 369-3158
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0030081431
GA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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