Individual
MRS. AMY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5170 SUNDOWN TRL, SALCHA, AK 99714-9756
(907) 978-5023
Mailing address
PO BOX 57467, NORTH POLE, AK 99705-2467
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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