Wanda Michelle Tucker
Wanda Michelle Tucker is a Contractor in Lawton, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2717 NW Denver AveLawton, OK 73505-3942
Phone: (580) 583-3623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1851902316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2020 |
| Last updated in NPPES | August 10, 2020 |
| Certification date | August 10, 2020 |
| Mailing address | 2717 Nw Denver Ave, Lawton, OK 73505-3942 |
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