Individual
KRISHAWN MARIE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 N CAPITOL ST NW APT 304, WASHINGTON, DC 20002-7554
(202) 674-7775
Mailing address
2978 MOURNING DOVE PL UNIT B, WALDORF, MD 20603-5969
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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