Individual
MS. ANGIE RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RHIA
Contact information
Practice address
1888 MAIN ST STE C, BOX #109, MADISON, MS 39110-6337
(601) 955-9434
(601) 510-7791
Mailing address
1888 MAIN STREET SUITE C, BOX #109, MADISON, MS 39110
(601) 955-9434
(601) 510-7791
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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