Individual
CECIL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9729 ROYAL CREST CIR, FREDERICK, MD 21704-7801
(301) 442-7095
Mailing address
9729 ROYAL CREST CIR, FREDERICK, MD 21704-7801
(301) 442-7095
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R163975
MD
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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