Provider Demographics
NPI:1598016925
Name:TUCKER, EUGENIA F
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:F
Last Name:TUCKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3067 ALBION RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-2705
Mailing Address - Country:US
Mailing Address - Phone:330-990-3533
Mailing Address - Fax:
Practice Address - Street 1:3067 ALBION RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-2705
Practice Address - Country:US
Practice Address - Phone:330-990-3533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide