Individual
KRISTI TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
827 TACKETTS BRANCH RD, HURRICANE, WV 25526-6623
(304) 562-0708
Mailing address
827 TACKETTS BRANCH RD, HURRICANE, WV 25526-6623
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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