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Individual

DR. ALFONZO W TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D

Contact information

Practice address
7181 W DOVEWOOD LN, FRESNO, CA 93723-4044
(925) 858-6911
Mailing address
6569 N RIVERSIDE DR STE 102, FRESNO, CA 93722-9319
(925) 858-6911

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CA

Other

Enumeration date
03/06/2026
Last updated
03/06/2026
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