Individual
MRS. CAROL IDA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7171 BOWLING DR, SUITE 800, SACRAMENTO, CA 95823-2034
(916) 875-5000
Mailing address
7001A EAST PKWY, SUITE 600, SACRAMENTO, CA 95823-2501
(916) 875-5500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN495914
CA
171M00000X
Case Manager/Care Coordinator
50836
CA
Other
Enumeration date
08/17/2007
Last updated
09/11/2007
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