Individual
KENNETH TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5313 CRIMSON RIDGE DR, LAS VEGAS, NV 89130-5320
(702) 945-8834
Mailing address
5313 CRIMSON RIDGE DR, LAS VEGAS, NV 89130-5320
(702) 945-8834
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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