Jerry Dewayne Tucker
NPI #1407998404 in Camp Lejeune, North Carolina
Provider Information
- NPI Number
- 1407998404
- Entity Type
- Individual
- Name
- Jerry Dewayne Tucker
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Pathology - Medical Technologist
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- US COAST GUARD SPECIAL MISSIONS TRAINING CENTER
- Address 2
- BB-11 COURTHOUSE BAY
- City
- Camp Lejeune
- State
- North Carolina
- ZIP Code
- 28542
- Phone
- (910) 376-0773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Pathology - Medical Technologist — Medical Technologist |
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