Individual
MICHELLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 EMORY AVE, BEAUMONT, CA 92223-3117
(951) 442-1807
Mailing address
90 EMORY AVE, BEAUMONT, CA 92223-3117
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95215463
CA
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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