Individual
PATTY LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
585 W COLLEGE AVE, SANTA ROSA, CA 95401-5000
(707) 525-9616
Mailing address
585 W COLLEGE AVE, SANTA ROSA, CA 95401-5000
(707) 527-0485
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12688
CA
Other
Enumeration date
03/23/2006
Last updated
02/08/2021
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