Individual
JANA L TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
641 WOODLAND DR, TALLMADGE, OH 44278-2047
(330) 714-1163
Mailing address
641 WOODLAND DR, TALLMADGE, OH 44278-2047
(330) 714-1163
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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