Deron Tucker

NPI #1043690860 in Hobart, Indiana

Provider Information

NPI Number: 1043690860
Entity Type: Individual
Name: Deron Tucker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jun 6, 2015
Last Updated: Jun 6, 2015

Practice Location

Address: 7243 TANAGER ST
City: Hobart
State: Indiana
ZIP Code: 46342-6948
Phone: (219) 256-2030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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