Individual
PAMELA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 WOODMEADOW DR SE, APT. 303, GRAND RAPIDS, MI 49546-8039
(616) 308-5310
(616) 336-2475
Mailing address
2600 WOODMEADOW DR SE, APT. 303, GRAND RAPIDS, MI 49546-8039
(616) 308-5310
(616) 336-2475
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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