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1073025904
TIAWANA MICHELLE TUCKER
WASHINGTON, DC
NPI
1073025904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA8370)
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2017-11-01
Last Update Date
2019-02-10
Business Address
Mrs. TIAWANA MICHELLE TUCKER
1010 VERMONT AVE NW STE 1003
WASHINGTON, DC 20005-4927
Phone number: 202-827-9004
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Mailing Address
Mrs. TIAWANA MICHELLE TUCKER
5850 SOUTHERN AVE SE
WASHINGTON, DC 20019-6552
Phone number: 202-710-8815
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