Individual
CHRISTOPHER TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 585-4221
Mailing address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 585-4221
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95036581
CA
Other
Enumeration date
12/18/2020
Last updated
04/15/2023
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