Individual
TERESA MARIE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3221 BLUFF VIEW CT APT 202, WOODBRIDGE, VA 22192-1763
(703) 504-7867
Mailing address
3221 BLUFF VIEW CT APT 202, WOODBRIDGE, VA 22192-1763
(703) 504-7867
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-109391
TX
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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