Individual
MS. VANESSA LEILANI TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
111 SE DOUGLAS ST # F-3, NEWPORT, OR 97365-4499
(805) 826-8594
Mailing address
1203B N SIGNAL ST, OJAI, CA 93023-1831
(805) 826-8594
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC222827
OR
Other
Enumeration date
11/21/2024
Last updated
05/22/2025
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