Individual
DANIEL J RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5230 W PATRICK LN, SUITE 140, LAS VEGAS, NV 89118-2851
(702) 504-5213
Mailing address
5230 W PATRICK LANE, SUITE 140, LAS VEGAS, NV 89015
(702) 504-5213
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1702142613
NV
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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