Individual
AYESHA CARMELITA RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 B ST SE APT 235, WASHINGTON, DC 20019-7325
(202) 678-2234
Mailing address
12018 CHASE CROSSING CIR APT 301, NORTH BETHESDA, MD 20852-4760
(202) 423-0571
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
3747P1801X
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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