Dyneise Tucker
Dyneise Tucker is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Newark, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
87 2nd St Apt 2Newark, NJ 07107-3103
Phone: (862) 944-8037
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1427683465 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 10, 2020 |
| Last updated in NPPES | March 10, 2020 |
| Certification date | March 10, 2020 |
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