Individual
DION JACOB TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 726-2850
Mailing address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 726-2850
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
11/19/2025
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