Individual
ANGELA RENAY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 BARNABY TER SE, WASHINGTON, DC 20032-4306
(240) 487-9515
Mailing address
1446 CAPITAL VIEW TERRACE, HYATTSVILLE, MD 20785
(240) 487-9515
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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