Individual
MARICAROLYN RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6071 TELEGRAPH RD, SAINT LOUIS, MO 63129-4758
(866) 825-3227
Mailing address
161 WASHINGTON ST, EIGHT TOWER SUITE 1400, CONSHOHOCKEN, PA 19428-2083
(866) 825-3227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
141660
MO
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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