Individual
TRESURE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3206
(951) 642-7352
Mailing address
6039 BOSWELL CT, RIVERSIDE, CA 92507-8416
(951) 642-7352
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000056259
CA
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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