Individual
KALA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
226 BRIDGE STREET, LUMBERPORT, WV 26386
(304) 695-6636
Mailing address
PO BOX 114, LUMBERPORT, WV 26386-0114
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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