Individual
MRS. ANETHA LYNN MCDONALD-RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8215 ORCHARD AVE, WARREN, MI 48089-2932
(248) 229-6988
Mailing address
8215 ORCHARD AVE, WARREN, MI 48089-2932
(248) 229-6988
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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