Fonda L Tucker

NPI 1619065315 - Counselor - 101Y00000X

NPI Details
NPI 1619065315
Gender Female
Enumeration Date 10/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1510 W OTTAWA
PAXTON IL, 60957, US
Phone (217) 379-4302
Fax (217) 379-4306
Business Location
PO BOX 162
1510 W OTTAWA
PAXTON IL, 60957, US
Phone (217) 379-4302
Fax (217) 379-4306
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Fonda L Tucker NPI is 1619065315, taxonomy code is 101Y00000X Fonda L Tucker physically located at 1510 W Ottawa, Paxton IL, 60957. NPI Number Fonda L Tucker has the Individual type.

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1619065315 NPI number is provided on an as is basis without warranty of any kind. 1619065315 is maintained by the National Plan & Provider Enumeration System. The contents of Fonda L Tucker are for informational purposes only.