TERESA WALLACE TUCKER

BELLEVILLE, IL
NPI1215334016
Former NameTERESA ALICIA WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MO  2014032763)
Enumeration Date2014-11-24
Last Update Date2014-11-24
Business Address
-- TERESA WALLACE TUCKER RN
2659 PIPER HILLS DR
BELLEVILLE, IL 62221-3458
Phone number: 757-561-8878
Mailing Address
-- TERESA WALLACE TUCKER RN
2659 PIPER HILLS DR
BELLEVILLE, IL 62221-3458
Phone number: 757-561-8878
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