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Individual

CHANDLER TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1190 LEHIGH ST, BOULDER, CO 80305-6351
(603) 315-9565
Mailing address
1190 LEHIGH ST, BOULDER, CO 80305-6351

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
86167596

Other

Enumeration date
11/27/2024
Last updated
11/27/2024
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