Individual
KAPREISHA D TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 KETTNER BLVD, SAN DIEGO, CA 92101-2421
(619) 865-0561
Mailing address
1420 KETTNER BLVD, SAN DIEGO, CA 92101-2421
(619) 865-0561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/20/2018
Last updated
03/20/2025
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