Mary Tucker, AS

NPI #1508653353 in Randolph, Vermont

Provider Information

NPI Number: 1508653353
Entity Type: Individual
Name: Mary Tucker, AS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: AS
Enumeration Date: Apr 24, 2025
Last Updated: Apr 24, 2025

Practice Location

Address: PO BOX G
City: Randolph
State: Vermont
ZIP Code: 05060-0167
Phone: (802) 728-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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