Individual
AMY RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 PLUM HORSE AVE, NORTH LAS VEGAS, NV 89031-1317
(702) 351-2192
Mailing address
345 PLUM HORSE AVE, NORTH LAS VEGAS, NV 89031-1317
(702) 473-9067
(702) 974-1348
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/08/2011
Last updated
09/12/2019
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