Individual
EMMET CLIVE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1111 S OCEAN BLVD APT 419, BOCA RATON, FL 33432-7659
(808) 283-2105
Mailing address
1111 S OCEAN BLVD APT 419, BOCA RATON, FL 33432-7659
(808) 283-2105
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
883
HI
Other
Enumeration date
06/30/2009
Last updated
08/18/2022
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