Individual
KATHY TUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 WAVE AVE, PISMO BEACH, CA 93449-2821
(805) 748-9677
Mailing address
133 WAVE AVE, PISMO BEACH, CA 93449-2821
(805) 748-9677
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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