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Organization
WOUND RESOURCE PROFESSIONAL CORPORATION
Active
Organization
WOUND RESOURCE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA RUCKER (OWNER)
(702) 612-6316
Entity
Organization
Contact information
Practice address
7262 SUNNYSLOPE DR, LANCASTER, CA 93536-7363
(702) 612-6316
Mailing address
8416 DELCO AVE, WINNETKA, CA 91306-1317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
10/02/2025
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