# DR RUCKERS WELLNESS CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942361282
- **Authorized official:** DR. MYLENE RUCKER (PHYSICIAN)
- **Authorized official phone:** (559) 635-1746

## Contact information

- **Practice address:** 2305 W MIDVALLEY AVE, VISALIA, CA 93277-9455
- **Practice address phone:** (559) 635-1746
- **Practice address fax:** (559) 635-0493
- **Mailing address:** 2305 W MIDVALLEY AVE, VISALIA, CA 93277-9455
- **Mailing address phone:** (559) 635-1746
- **Mailing address fax:** (559) 635-0493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 04/20/2010