Individual
DERRICK TUCKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
3801 3RD STREET #5J93, SUITE 200, SAN FRANSISCO, CA 94124
(415) 401-4448
Mailing address
3801 3RD STREET #5J93, SUITE 200, SAN FRANSISCO, CA 94124
(415) 401-4448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN731687
CA
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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