Individual
JOI TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY ROAD, SUITE 240, PLYMUTH MEETING, PA 19462
(610) 834-1122
(610) 834-7525
Mailing address
45 HIGHLAND BLVD, APT B, NEW CASTLE, DE 19720-6945
(302) 326-1136
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN274119
PA
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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