Individual
KATRENA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
1034 RAMBLE RUN RD, MIDDLE RIVER, MD 21220-1847
(443) 804-0306
Mailing address
10770 COLUMBIA PIKE STE 300, SILVER SPRING, MD 20901-4439
(443) 804-0306
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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