Individual
NICOLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
325 NW VERMONT ST STE 101, BEND, OR 97701-1916
(541) 815-5883
Mailing address
325 NW VERMONT ST STE 101, BEND, OR 97701-1916
(541) 815-5883
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
11/06/2013
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