Individual
RAYMOND TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6770 AVERY MUIRFIELD DR, DUBLIN, OH 43017-1241
(888) 251-2365
Mailing address
6770 AVERY MUIRFIELD DR, DUBLIN, OH 43017-1241
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004235
OH
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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