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Individual

TANIKA J RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
323 MANCHESTER CT, PRINCETON, WV 24740-4263
(304) 910-7373
Mailing address
323 MANCHESTER CT, PRINCETON, WV 24740-4263
(304) 910-7373

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35651
WV

Other

Enumeration date
05/26/2026
Last updated
05/26/2026
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