ALICE LAVETTE TUCKER

STATEN ISLAND, NY
NPI1174410708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy276400000X Rehabilitation, Substance Use Disorder Unit
Enumeration Date2025-06-18
Last Update Date2025-06-18
Business Address
ALICE LAVETTE TUCKER
28 HOLLAND AVE
STATEN ISLAND, NY 10303-1204
Phone number: 917-288-3321
Mailing Address
ALICE LAVETTE TUCKER
28 HOLLAND AVE
STATEN ISLAND, NY 10303-1204
Phone number: 917-288-3321