Individual
TIFFANY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17331 STUEBNER AIRLINE RD STE 113, SPRING, TX 77379-4628
(281) 969-3332
Mailing address
722 SHADY LODGE LN, SPRING, TX 77373-8589
(281) 866-4142
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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