Individual
JERRY DEWAYNE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
US COAST GUARD SPECIAL MISSIONS TRAINING CENTER, BB-11 COURTHOUSE BAY, CAMP LEJEUNE, NC 28542
(910) 376-0773
(910) 450-7040
Mailing address
US COAST GUARD SPECIAL MISSIONS TRAINING CENTER, BB-11 COURTHOUSE BAY, CAMP LEJEUNE, NC 28542
(910) 376-0773
(910) 450-7040
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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