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Individual

MRS. CATHY TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLPN

Contact information

Practice address
1653 BEACH AVE, ATLANTIC CITY, NJ 08401-1607
(609) 892-2995
Mailing address
1653 BEACH AVE, ATLANTIC CITY, NJ 08401-1607
(609) 892-2995

Taxonomy

Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
181145
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02759593
NY
Enumeration date
05/23/2008
Last updated
05/23/2008
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