Individual
BRITTANNY RENE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(619) 532-7968
Mailing address
5355 REPECHO DR APT 207, SAN DIEGO, CA 92124-1735
(901) 438-1284
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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