Katrell Rucker
NPI #1588308142 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1588308142
- Entity Type
- Individual
- Name
- Katrell Rucker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Secured Medical Transport (VAN)
- Enumeration Date
- Apr 20, 2022
- Last Updated
- Apr 20, 2022
Practice Location
- Address
- 5 CEDAR RUN LN APT 7
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-2707
- Phone
- (636) 466-7745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Secured Medical Transport (VAN) |
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