Individual
DAWN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
902 MEADOWLANE DR, RIPLEY, OH 45167-1447
(937) 515-5787
Mailing address
902 MEADOWLANE DR, RIPLEY, OH 45167-1447
(937) 515-5787
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
161830
OH
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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