Individual
MS. ADELE D. TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9919 SOMERSET AVE, CLEVELAND, OH 44108-3413
(216) 256-4031
Mailing address
9919 SOMERSET, CLEVELAND, OH 44108-3413
(216) 256-4031
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 117774 MEDS
OH
Other
Enumeration date
07/05/2008
Last updated
04/07/2011
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