Individual
JULIA LAINE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6075 PADDOCK LN, CUMMING, GA 30040-6564
(678) 477-3548
Mailing address
6075 PADDOCK LN, CUMMING, GA 30040-6564
(678) 477-3548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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