Individual
EHRAEDA FAITH-NOELLE RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, QMHA
Contact information
Practice address
2820 W CHARLESTON BLVD # C23, LAS VEGAS, NV 89102-1942
(702) 437-4673
Mailing address
725 S HUALAPAI WAY APT 2128, LAS VEGAS, NV 89145-8843
(702) 306-5000
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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