Individual
MR. QUINTON NIGEL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4305 E TRENT AVE, SPOKANE, WA 99212-2339
(509) 795-3133
(509) 795-3141
Mailing address
1317 E JOSEPH AVE, SPOKANE, WA 99208-3453
(216) 544-1272
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60616656
WA
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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