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Keisha Lee Tuck
Other Specialist/Technologist in Gallup, New Mexico
NPI 1396481503

Keisha Lee Tuck is a Other Specialist/Technologist based in Raleigh, NM. Keisha Lee Tuck practices in Gallup, NM. The NPI Number for Keisha Lee Tuck is 1396481503 and holds a License No. 180581 (New Mexico).

The current practice location address for Keisha Lee Tuck is 516 E Nizhoni Blvd, Gallup, NM and can be reached out via phone at 505-722-1000.

Location: 516 E Nizhoni Blvd, Gallup, NM, 27610-6925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396481503
Provider Name
Keisha Lee Tuck
Credential
Provider Entity Type
Individual
Gender
Female
Address
516 E Nizhoni Blvd, Gallup, NM, 27610-6925
Phone Number
505-722-1000
Fax Number
Provider Enumeration Date
05/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
516 E Nizhoni Blvd
City
Gallup
State
New Mexico
Zip
87301-5748
Phone Number
505-722-1000
Fax Number
person
Provider Business Mailing Address Details
Address
516 E Nizhoni Blvd
City
Gallup
State
New Mexico
Zip
87301-5748
Phone Number
505-722-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
180581 (North Carolina)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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