Individual
MS. NICHOLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1276 SAINT CYR RD STE 114, SAINT LOUIS, MO 63137-1224
(314) 738-9941
(314) 738-9961
Mailing address
1276 SAINT CYR RD STE 114, SAINT LOUIS, MO 63137-1224
(314) 738-9941
(314) 738-9961
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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