Individual
KATELYNN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 E SANDYVALE DR, MINERVA, OH 44657-9781
(330) 771-3794
Mailing address
112 E SANDYVALE DR, MINERVA, OH 44657-9781
(330) 771-3794
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
06/22/2023
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