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Individual

CARLY ANN TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5300 LENNOX AVE STE 200, BAKERSFIELD, CA 93309-1662
(661) 200-9660
Mailing address
3112 APOLLO ST, BAKERSFIELD, CA 93306-2128
(661) 378-0378

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302251
CA

Other

Enumeration date
06/14/2022
Last updated
06/14/2022
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