Individual
MRS. BRANDI MICHELLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 HOWE AVE STE 1, SACRAMENTO, CA 95825-3912
(916) 929-0808
(916) 649-8657
Mailing address
7840 ORCHARD WOODS CIR, SACRAMENTO, CA 95828-6204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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