Individual
MICHELLE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2106 N CLARKSON ST, FREMONT, NE 68025-2626
(402) 719-2398
Mailing address
2106 N CLARKSON ST, FREMONT, NE 68025-2626
(402) 719-2398
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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