NPI 1396481503

Keisha Lee Tuck

Practitioner Other Specialist/Technologist Gallup, NM

Practice location

Address: 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Phone: (505) 722-1000
Mailing address: 3514 Aldie CT, Raleigh, NC 27610-6925

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 180581 (NC)

Other Specialist/Technologist, Other providers in New Mexico →

Registry record

NPI: 1396481503
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2022
Record last updated: 10 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.