TUCKER SHORT

MERIDIAN, ID
NPI1811789688
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
Enumeration Date2025-05-19
Last Update Date2025-05-19
Business Address
TUCKER SHORT
2463 E GALA ST
MERIDIAN, ID 83642-5209
Phone number: 425-941-7007
Mailing Address
TUCKER SHORT
4848 S TWILIGHT MIST WAY
MERIDIAN, ID 83642-6864
Phone number: 425-941-7007
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