Individual
JESSICA R TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 473-1190
(508) 473-6251
Mailing address
124 GROVE ST, BELLINGHAM, MA 02019-1004
(508) 254-0017
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
06/09/2011
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