Individual
KIANA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1439 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1106
(617) 665-1000
Mailing address
23 ROLLING GREEN DR APT C, FALL RIVER, MA 02720-7845
(781) 336-6114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98922
MA
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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