SearchMissouri376K00000X

Ciara Tucker

NPI 1689439192 · on the registry since 2024 · sole proprietor

Practice

Address
4053 Saint Ferdinand Ave Apt D
Saint Louis, MO 63113
Phone
(314) 372-1149

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri