Individual provider · Type 1 NPI

Latrese Tucker

Contractor · Detroit, MI

NPI number 1033763347 Active

Practice location

9600 Wyoming
Detroit, MI 48204

Mailing address

3835 Holcomb St
Detroit, MI 48214-1386

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1033763347

Latrese Tucker's National Provider Identifier is 1033763347, issued on Jul 25, 2019. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 25, 2019.