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Individual

JACQUELINE RUEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT.

Contact information

Practice address
6231 RAVENWOOD CV, HORN LAKE, MS 38637-2588
(901) 438-8799
(662) 280-3324
Mailing address
6231 RAVENWOOD CV, HORN LAKE, MS 38637-2588
(901) 438-8799
(662) 280-3324

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4344
TN

Other

Enumeration date
07/09/2006
Last updated
07/08/2007
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