Jordan Tucker

NPI #1639566904 in Fallon, Nevada

Provider Information

NPI Number
1639566904
Entity Type
Individual
Name
Jordan Tucker
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Apr 23, 2015
Last Updated
Apr 23, 2015

Practice Location

Address
1490 GRIMES ST
City
Fallon
State
Nevada
ZIP Code
89406-3103
Phone
(775) 423-1412

Specialties & Taxonomy Codes

Specialty
Technician, Other

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