Individual
MRS. KATHY TUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1133 COPPER LANTERN CT, MODESTO, CA 95355-8915
(209) 544-0314
Mailing address
1133 COPPER LANTERN CT, MODESTO, CA 95355-8915
(209) 544-0314
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
270831
CA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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