Tennille Louise Tucker

NPI 1972646214 - Counselor - 101YM0800X

NPI Details
NPI 1972646214
Gender Female
Enumeration Date 02/15/2007
Last Updated 04/29/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
900 VETERANS BLVD STE 330
REDWOOD CITY CA, 94063-1741, US
Phone (650) 599-1118
Fax (650) 368-2702
Business Location
346 RAILROAD AVE
LOWER LEVEL
SOUTH SAN FRANCISCO CA, 94080-4705, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number 29353
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According to our database, Tennille Louise Tucker NPI is 1972646214, taxonomy code is 101YM0800X and license number is 29353, license state is located at California. Tennille Louise Tucker physically located at 900 Veterans Blvd Ste 330, Redwood City CA, 94063-1741. NPI Number Tennille Louise Tucker has the Individual type.

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1972646214 NPI number is provided on an as is basis without warranty of any kind. 1972646214 is maintained by the National Plan & Provider Enumeration System. The contents of Tennille Louise Tucker are for informational purposes only.