AMBER TACKETT

FONTANA, CA
NPI1750023164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95020645)
Enumeration Date2022-04-07
Last Update Date2022-04-07
Business Address
AMBER TACKETT NP-C
6333 KEYSTONE WAY
FONTANA, CA 92336-4054
Phone number: 951-990-9415
Mailing Address
AMBER TACKETT NP-C
6333 KEYSTONE WAY
FONTANA, CA 92336-4054
Phone number: 951-990-9415
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