Individual
MS. JULIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
379 FIELD HOUSE DR, COLLEGE PARK, MD 20742-0001
(240) 417-1511
(301) 314-6549
Mailing address
14545 CARONA DR, SILVER SPRING, MD 20905-5886
(301) 928-4694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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