Individual
DAWNMICHELLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3317 CHANATE RD, SUITE 2C, SANTA ROSA, CA 95404-1737
(916) 482-4856
Mailing address
1442 ETHAN WAY STE 200, SACRAMENTO, CA 95825-2232
(916) 482-4856
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
95065626
CA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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