Ethel Rucker
NPI #1861212656 in Montclair, California
Provider Information
- NPI Number
- 1861212656
- Entity Type
- Individual
- Name
- Ethel Rucker
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 15, 2024
- Last Updated
- Oct 15, 2024
Practice Location
- Address
- 5080 KINGSLEY ST
- City
- Montclair
- State
- California
- ZIP Code
- 91763-3845
- Phone
- (909) 319-2240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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