Individual
MRS. CRYSTAL RACHELLE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12622 RED MAPLE WAY, SAN ANTONIO, TX 78253-6242
(361) 229-2999
Mailing address
12622 RED MAPLE WAY, SAN ANTONIO, TX 78253-6242
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
181831
TX
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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