DIXIE R TUCKER

STOCKTON, CA
NPI1710331020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: CA  95010898)
Additional Taxonomies363LA2200X Nurse Practitioner Adult Health
(Licence: AL  1-127359)
363LP2300X Nurse Practitioner Primary Care
(Licence: AL  1-127359)
Enumeration Date2016-04-22
Last Update Date2024-02-12
Business Address
DIXIE R TUCKER NP-C
582 E HARDING WAY
STOCKTON, CA 95204-6110
Phone number: 205-442-6077
Mailing Address
DIXIE R TUCKER NP-C
582 E HARDING WAY
STOCKTON, CA 95204-6110
Phone number: 205-442-6077