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Individual

ALBA TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
18200 YORBA LINDA BLVD, SUITE 308, YORBA LINDA, CA 92886-4056
(714) 577-6031
(714) 572-2562
Mailing address
18200 YORBA LINDA BLVD, SUITE 401, YORBA LINDA, CA 92886-4056
(714) 646-8000
(714) 572-2562

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
714
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
717
CERTIFIED MASSAGE THERAPIST
CA
Enumeration date
08/20/2010
Last updated
08/20/2010
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