JORDAN TUCKER
Technician, Other
Active
Individual
NPI: 1639566904
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Technician, Other | 247200000X | Yes | - |
Frequently Asked Questions
NPI 1639566904 is the National Provider Identifier for JORDAN TUCKER, a Technician, Other provider located in Fallon, NV. This NPI was enumerated on April 23, 2015.
JORDAN TUCKER practices at 1490 GRIMES ST, Fallon, NV 89406.
Quick Facts
- NPI
- 1639566904
- Type
- Individual
- Enumerated
- Apr 23, 2015
- Last Updated
- Apr 23, 2015
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