Individual
BARBARA J TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
852 US ROUTE 11 LOT 183, CENTRAL SQUARE, NY 13036-9641
(315) 668-3191
Mailing address
852 US RT 11 183, NUMBER 183, CENTRAL SQUARE, NY 13036
(315) 668-3191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
283770-1
NY
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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