Individual
MRS. JOAN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2422 N 100TH ST, OMAHA, NE 68134-5566
(402) 933-5381
Mailing address
2422 N 100TH ST, OMAHA, NE 68134-5566
(402) 933-5381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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