KENNETH TUCKER

FAIRMONT, WV
NPI1801480579
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-02-23
Last Update Date2021-02-23
Business Address
KENNETH TUCKER
186 APPLE VALLEY RD APT 5
FAIRMONT, WV 26554-7854
Phone number: 304-435-5283
Mailing Address
KENNETH TUCKER
186 APPLE VALLEY RD APT 5
FAIRMONT, WV 26554-7854
Phone number:
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