Individual
ASHLEY D TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 W MAIN ST, UNION, MO 63084-1363
(636) 224-1400
(636) 744-0004
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2014018648
MO
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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