SHANNA RUCKER

LOS ANGELES, CA
NPI1194307421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95017042)
Enumeration Date2021-04-26
Last Update Date2021-04-26
Business Address
SHANNA RUCKER NP
2707 S CENTRAL AVE
LOS ANGELES, CA 90011-5527
Phone number: 702-612-6316
Mailing Address
SHANNA RUCKER NP
8416 DELCO AVE
WINNETKA, CA 91306-1317
Phone number: 702-612-6316
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