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Individual

RACQUEL KRISTINA LEE RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
350 EASTERN AVE NE, WASHINGTON, DC 20019-2833
(202) 248-1356
Mailing address
24 STATON DR, UPPER MARLBORO, MD 20774-1752
(240) 501-1101

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/05/2025
Last updated
02/12/2025
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