Individual
KENYA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 CROOKED TREE CIR, STONE MOUNTAIN, GA 30088-3760
(678) 887-7814
Mailing address
1422 CROOKED TREE CIR, STONE MOUNTAIN, GA 30088-3760
(678) 887-7814
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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