Individual
AREMY DIANNE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5130 W GROVERS AVE, GLENDALE, AZ 85308-1300
(605) 467-6510
Mailing address
5130 W GROVERS AVE, GLENDALE, AZ 85308-1300
(605) 467-6510
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN173103
AZ
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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