MARTHA MARIE TUCKER

LA MESA, CA
NPI1699027342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  P1011050238)
Enumeration Date2012-10-04
Last Update Date2012-10-04
Business Address
MRS. MARTHA MARIE TUCKER RAS
4990 WILLIAMS AVE
LA MESA, CA 91942-7409
Phone number: 619-668-4200
Mailing Address
MRS. MARTHA MARIE TUCKER RAS
4990 WILLIAMS AVE
LA MESA, CA 91942-7409
Phone number: 619-668-4200
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