Individual
MRS. CYNTHIA L. TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N ROYAL TOWER DR, IRMO, SC 29063-2254
(803) 465-0882
Mailing address
701 N ROYAL TOWER DR, IRMO, SC 29063-2254
(803) 465-0882
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
SC
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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