Individual
SARAH JOLENE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 S LAKEWOOD AVE, TULSA, OK 74135-5701
(918) 373-5689
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
09/29/2023
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