Individual provider · Type 1 NPI

Andretta Tucker

Other Technician · Detroit, MI

NPI number 1265980841 Active

Practice location

17541 Grandville Ave
Detroit, MI 48219-3518

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1265980841

Andretta Tucker's National Provider Identifier is 1265980841, issued on Sep 13, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Detroit, MI. The record was last updated on Sep 13, 2016.