DERRICK TUCKER

SAINT LOUIS, MO
NPI1629434576
Professional NameDETONY TUCKER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: MO  2013025861)
Enumeration Date2016-01-07
Last Update Date2016-01-07
Business Address
Mr. DERRICK TUCKER LMT
4102A SHENANDOAH AVE
SAINT LOUIS, MO 63110-3940
Phone number: 314-541-3924
Mailing Address
Mr. DERRICK TUCKER LMT
4102A SHENANDOAH AVE
SAINT LOUIS, MO 63110-3940
Phone number: 314-541-3924