Individual
AMI KATHLEEN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5959 GREENBACK LN STE 500, CITRUS HEIGHTS, CA 95621-4700
(916) 737-5555
Mailing address
6518 PUEBLO CT, GRANITE BAY, CA 95746-9652
(919) 600-4564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95026044
CA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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