Individual
CARISA RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 28TH ST S, ST PETERSBURG, FL 33712-3441
(941) 237-7723
Mailing address
2301 28TH ST S, ST PETERSBURG, FL 33712-3441
(941) 237-7723
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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