Individual
HEATHER RUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 S SPRIGG ST # 2, CAPE GIRARDEAU, MO 63703-6212
(573) 651-4177
(573) 651-3636
Mailing address
20 S SPRIGG ST # 2, CAPE GIRARDEAU, MO 63703-6212
(573) 651-4177
(573) 651-3636
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
142213
MO
Other
Enumeration date
03/19/2008
Last updated
05/21/2009
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