Individual
LEAH J. RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
221 W KNOX RD, TEMPE, AZ 85284-3016
(480) 323-4917
Mailing address
221 W KNOX RD, TEMPE, AZ 85284-3016
(480) 323-4917
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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