Tina Marie Puckett
NPI #1720568371 in Oak Harbor, Washington
Provider Information
- NPI Number
- 1720568371
- Entity Type
- Individual
- Name
- Tina Marie Puckett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 14, 2018
- Last Updated
- Aug 14, 2018
Practice Location
- Address
- 1337 NAPOLEON DR
- City
- Oak Harbor
- State
- Washington
- ZIP Code
- 98277-8405
- Phone
- (502) 526-2860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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