Most Relevant Information
Provider Data
| NPI Number: | 1003336298 |
| Provider Name: | ALISHA A TUCKER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN.155338.MEDS-IV |
Most Important Dates
| Enumeration Date: | 06/20/2017 |
| Last Updated: | 06/20/2017 |
Provider Practice Location
45 N CANFIELD NILES RD
YOUNGSTOWN
OH
445152343
Practice Location Phone/Fax
| Phone: | 3302702380 |
| Fax: |
Provider Mailing Location
45 N CANFIELD NILES RD
AUSTINTOWN
OH
445152343
Provider Mailing Phone/Fax
| Phone: | 3302702380 |
| Fax: |