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Individual

MRS. JANICE M RUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPCT, STNA

Contact information

Practice address
2020 PATTON HILL RD, CHILLICOTHE, OH 45601-8743
(740) 772-4187
Mailing address
2020 PATTON HILL RD, CHILLICOTHE, OH 45601-8743
(740) 772-4187

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2377-0640
OH
3747P1801X
Personal Care Attendant
400848261208
OH

Other

Enumeration date
12/29/2008
Last updated
12/29/2008
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