DOUGLAS ANTHONY TUCKER

SANTA ANA, CA
NPI1376901017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: CA  300033CN)
Enumeration Date2016-02-09
Last Update Date2016-02-09
Business Address
Mr. DOUGLAS ANTHONY TUCKER MHS CATC IV 155671
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
Mailing Address
Mr. DOUGLAS ANTHONY TUCKER MHS CATC IV 155671
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
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