Individual
YOLANDA DASHAWNDA RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3516 GREY BARK DR, MEMPHIS, TN 38118-8149
(901) 576-6987
Mailing address
3516 GREY BARK DR, MEMPHIS, TN 38118-8149
(901) 576-6987
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1955085
OH
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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