Individual
ELAINE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2974 SKY WAY DR, MEMPHIS, TN 38127-7477
(901) 357-8472
Mailing address
2974 SKY WAY DR, MEMPHIS, TN 38127-7477
(901) 357-8472
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1000000022111
TN
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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