Individual
DAMARA KATHLEEN LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 FAIRVIEW ST, APT. C, BERKELEY, CA 94703-2317
(510) 365-1207
Mailing address
428 N SPRING ST, UKIAH, CA 95482-4221
(510) 365-1207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54385
CA
Other
Enumeration date
04/28/2017
Last updated
10/06/2020
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