Antonio Jermaine Rucker

NPI 1134331200 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1134331200
Gender Male
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
40 ROSWELL AVE
LONG BEACH CA, 90803-2952, US
Phone (562) 711-1147
Fax
Business Location
40 ROSWELL AVE
LONG BEACH CA, 90803-2952, US
Phone
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
Remove 1134331200 NPI Number
 

According to our database, Antonio Jermaine Rucker NPI is 1134331200, taxonomy code is 171M00000X Antonio Jermaine Rucker physically located at 40 Roswell Ave, Long Beach CA, 90803-2952. NPI Number Antonio Jermaine Rucker has the Individual type.

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1134331200 NPI number is provided on an as is basis without warranty of any kind. 1134331200 is maintained by the National Plan & Provider Enumeration System. The contents of Antonio Jermaine Rucker are for informational purposes only.