Individual
BROOKE RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5021 HEDGEBROOK LN, WAXHAW, NC 28173-7073
(502) 541-8285
Mailing address
5021 HEDGEBROOK LN, WAXHAW, NC 28173-7073
(502) 541-8285
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
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