Individual
CARLA MARIE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 WILBEC RD, MEMPHIS, TN 38117-6351
(901) 495-5338
Mailing address
1336 WILBEC RD, MEMPHIS, TN 38117-6351
(901) 495-5338
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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