Most Relevant Information
Provider Data
| NPI Number: | 1003494741 |
| Provider Name: | QUANTISHA DENISE TUCKER |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: | 60178-59050 |
Most Important Dates
| Enumeration Date: | 04/01/2021 |
| Last Updated: | 04/01/2021 |
Provider Practice Location
557 ASPINWALL RD
COLUMBIA
SC
292035487
Practice Location Phone/Fax
| Phone: | 8037229388 |
| Fax: |
Provider Mailing Location
557 ASPINWALL RD
COLUMBIA
SC
292035487
Provider Mailing Phone/Fax
| Phone: | 8037229388 |
| Fax: |