Individual
MRS. BELINDA RAE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
204 BAXTER AVE, MOUNTAIN HOME, AR 72653-2118
(870) 508-4525
Mailing address
204 BAXTER AVE, MOUNTAIN HOME, AR 72653-2118
(870) 508-4525
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
08090001
TN
176B00000X
Midwife
R9801
AR
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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