Tucker, Martha Marie
Tucker, Martha Marie is an sole proprietor health care provider with primary practice located at 4990 Williams Ave , La Mesa CA 91942-7409. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Tucker, Martha Marie can be contacted via phone (619) 668-4200.Contact Information
Primary practice address
4990 Williams Ave
La Mesa CA 91942-7409
Phone: (619) 668-4200
Fax: (619) 698-1665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | P1011050238 | California |
Profile Details
| NPI number | 1699027342 |
|---|---|
| LBN Legal business name | Tucker, Martha Marie |
| Credentials | RAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2012 |
| Last updated | Oct 4th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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