Individual provider · Type 1 NPI

Micaela Marin-Tucker, PA-C

Medical Physician Assistant · Victorville, CA

NPI number 1922239953 Active

Practice location

12677 Hesperia Rd, Suite 160
Victorville, CA 92395-7735

Call (760) 955-5656 Map

Fax (760) 955-6176

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA15871 (CA)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1922239953

Micaela Marin-Tucker, PA-C's National Provider Identifier is 1922239953, issued on Aug 7, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Victorville, CA. The record was last updated on Aug 7, 2009.