Individual
MISS MARIE MILLIREN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RDN, LD
Contact information
Practice address
7041 PENGUIN RD, GILMER, TX 75645-8285
(360) 628-1861
Mailing address
7041 PENGUIN RD, GILMER, TX 75645-8285
(360) 628-1861
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60208971
WA
Other
Enumeration date
12/06/2006
Last updated
06/17/2025
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