Individual
MRS. JACQUELINE ALEXANDER RURAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3785 STUMPY LAKE LN, VIRGINIA BEACH, VA 23456-6814
(757) 679-3607
Mailing address
3785 STUMPY LAKE LN, VIRGINIA BEACH, VA 23456-6814
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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