Individual
DERRICK H TUCKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2902 O ST SE, WASHINGTON, DC 20020-3617
(202) 679-2984
Mailing address
2902 O ST SE, WASHINGTON, DC 20020-3617
(202) 679-2984
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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