Most Relevant Information
Provider Data
| NPI Number: | 1003470527 |
| Provider Name: | ELIZABETH S TUCKER |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 0419-34 |
Most Important Dates
| Enumeration Date: | 04/30/2019 |
| Last Updated: | 04/30/2019 |
Provider Practice Location
94-450 MOKUOLA ST # SY
WAIPAHU
HI
967973388
Practice Location Phone/Fax
| Phone: | 8089442882 |
| Fax: |
Provider Mailing Location
86-220 LEILEHO PL
WAIANAE
HI
967922993
Provider Mailing Phone/Fax
| Phone: | 4422479053 |
| Fax: |