MISS Tina Marie Loucks

NPI #1255953782 in Bath, New York

Provider Information

NPI Number
1255953782
Entity Type
Individual
Name
MISS Tina Marie Loucks
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
May 6, 2020
Last Updated
May 6, 2020

Practice Location

Address
6294 FULFORD HILL RD
City
Bath
ZIP Code
14810-8156
Phone
(607) 794-2998

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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