Individual
LEANDREA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 232-4913
Mailing address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 232-4913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN169265
AZ
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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