Betty L Rucker, LPN
NPI #1417213133 in Johnston City, Illinois
Provider Information
- NPI Number
- 1417213133
- Entity Type
- Individual
- Name
- Betty L Rucker, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Apr 6, 2012
- Last Updated
- Apr 6, 2012
Practice Location
- Address
- 14410 ROUTE 37
- City
- Johnston City
- State
- Illinois
- ZIP Code
- 62951-3166
- Phone
- (618) 983-6911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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