Individual
BROOKE RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
—
NC
405300000X
Prevention Professional
Primary
1003584525
NC
Other
Enumeration date
10/24/2023
Last updated
03/07/2024
Update your record
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