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Mark Elliott Tucker
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1417432493

Mark Elliott Tucker is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Mark Elliott Tucker practices in San Diego, CA. The NPI Number for Mark Elliott Tucker is 1417432493 and holds a License No. (California).

The current practice location address for Mark Elliott Tucker is 424 15Th St Apt 910, San Diego, CA and can be reached out via phone at 202-848-3174.

Location: 424 15Th St Apt 910, San Diego, CA, 92101-7540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417432493
Provider Name
Mark Elliott Tucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
424 15Th St Apt 910, San Diego, CA, 92101-7540
Phone Number
202-848-3174
Fax Number
Provider Enumeration Date
09/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
424 15Th St Apt 910
City
San Diego
State
California
Zip
92101-7540
Phone Number
202-848-3174
Fax Number
person
Provider Business Mailing Address Details
Address
424 15Th St Apt 910
City
San Diego
State
California
Zip
92101-7540
Phone Number
202-848-3174
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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