Individual
RAYANNA MARIE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5698 MISSION RD, BELLINGHAM, WA 98226-9580
(360) 483-9457
Mailing address
5698 MISSION RD, BELLINGHAM, WA 98226-9580
(360) 483-9457
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60343576
WA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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