Individual
JOSEPH RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2591 HOOD AVE, SHINNSTON, WV 26431-6979
(304) 203-5922
Mailing address
2591 HOOD AVE, SHINNSTON, WV 26431-6979
(304) 203-5922
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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