TYRONE DEMETRIUS TUCKER

N LAS VEGAS, NV
NPI1487903464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2012-09-05
Last Update Date2012-09-05
Business Address
-- TYRONE DEMETRIUS TUCKER
415 DUKE AVE
N LAS VEGAS, NV 89030-3800
Phone number: 702-479-8650
Mailing Address
-- TYRONE DEMETRIUS TUCKER
415 DUKE AVE
N LAS VEGAS, NV 89030-3800
Phone number: 702-479-8650