Individual
REIS TUCKER-MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
983 SONOMA AVE, SANTA ROSA, CA 95404-4818
(707) 583-8700
Mailing address
983 SONOMA AVE, SANTA ROSA, CA 95404-4818
(707) 583-8700
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95007608
CA
Other
Enumeration date
03/03/2018
Last updated
10/14/2021
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