Ehraeda Faith-noelle Rucker MA, QMHA

NPI 1235421017 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1235421017
Gender Female
Enumeration Date 05/11/2011
Last Updated 05/11/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2820 W CHARLESTON BLVD # C23
LAS VEGAS NV, 89102-1942, US
Phone (702) 437-4673
Fax
Business Location
725 S HUALAPAI WAY APT 2128
LAS VEGAS NV, 89145-8843, US
Phone (702) 306-5000
Fax
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Ehraeda Faith-noelle Rucker MA, QMHA NPI is 1235421017, taxonomy code is 225400000X Ehraeda Faith-noelle Rucker MA, QMHA physically located at 2820 W Charleston Blvd # C23, Las Vegas NV, 89102-1942. NPI Number Ehraeda Faith-noelle Rucker MA, QMHA has the Individual type.

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1235421017 NPI number is provided on an as is basis without warranty of any kind. 1235421017 is maintained by the National Plan & Provider Enumeration System. The contents of Ehraeda Faith-noelle Rucker MA, QMHA are for informational purposes only.