Individual
STEPHANIE M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7731 E NORTHERN LIGHTS BLVD STE 210, ANCHORAGE, AK 99504-3572
(907) 338-2727
Mailing address
7731 E NORTHERN LIGHTS BLVD STE 210, ANCHORAGE, AK 99504-3572
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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