NPI 1871363374

Eric Tucker

Practitioner Religious Nonmedical Practitioner Detroit, MI

Practice location

Address: 4646 John R St, Detroit, MI 48201-1916
Phone: (313) 576-3363

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

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Registry record

NPI: 1871363374
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2024
Record last updated: 5 Jan 2024

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.