Individual
EVANS TOREL TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1526 REPUBLIC ST, CINCINNATI, OH 45202-7016
(513) 241-2965
Mailing address
1526 REPUBLIC ST, CINCINNATI, OH 45202-7016
(513) 241-2965
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
ASP.003914
OH
Other
Enumeration date
03/02/2023
Last updated
03/03/2023
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