JERRY TUCKER

DETROIT, MI
NPI1720522527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: MI  7501005564)
Enumeration Date2016-12-13
Last Update Date2016-12-13
Business Address
-- JERRY TUCKER
18336 AVON AVE
DETROIT, MI 48219-2954
Phone number: 313-704-3586
Mailing Address
-- JERRY TUCKER
18336 AVON AVE
DETROIT, MI 48219-2954
Phone number: