MRS. Theresa Renee Rucker, PA

NPI #1356391882 in Viera, Florida

Provider Information

NPI Number
1356391882
Entity Type
Individual
Name
MRS. Theresa Renee Rucker, PA
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
May 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2900 VETERANS WAY
City
Viera
State
Florida
ZIP Code
32940-8007
Phone
(321) 637-3788

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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