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NPI Profile for TERESA M TUCKER in HORTON, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care |
385H00000X |
| NPI # | 1053614024 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/14/2010 | |
| Last updated | 12/14/2010 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TERESA M TUCKER
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TERESA M TUCKER