Individual
EVELYN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
384 IOWA AVE, LORAIN, OH 44052-2239
(614) 622-0936
Mailing address
384 IOWA AVE, LORAIN, OH 44052-2239
(614) 622-0936
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
RI
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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