Individual
MRS. ANDREA KAY RUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S 32ND ST, NEWARK, OH 43055-1914
(614) 668-8520
Mailing address
101 S 32ND ST, NEWARK, OH 43055-1914
(614) 668-8520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228350
OH
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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