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Individual

GENELL TUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1519 ALTON DR, AKRON, OH 44313-6457
(330) 573-0915
Mailing address
1519 ALTON DR, AKRON, OH 44313-6457
(330) 573-0915

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
376J00000X
Homemaker

Other

Enumeration date
06/22/2023
Last updated
06/22/2023
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