Individual
LINDSEY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 W SHAW AVE BLDG A, FRESNO, CA 93711-3334
(559) 645-2227
Mailing address
3835 CHESSA LN, CLOVIS, CA 93619-5145
(559) 645-2227
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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