Individual
MAA JEBBEH TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
494 BLOSSOM WAY, CHERRYLAND, CA 94541-1948
(510) 582-7676
(510) 582-9080
Mailing address
494 BLOSSOM WAY, CHERRYLAND, CA 94541-1948
(510) 582-7676
(510) 582-9080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
248054
CA
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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