JAYVANA RUCKER

SYRACUSE, NY
NPI1215711064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Additional Taxonomies224P00000X Prosthetist
Enumeration Date2023-08-22
Last Update Date2023-08-22
Business Address
JAYVANA RUCKER
755 N SALINA ST
SYRACUSE, NY 13208-2510
Phone number: 315-455-9090
Mailing Address
JAYVANA RUCKER
755 N SALINA ST
SYRACUSE, NY 13208-2510
Phone number: 315-455-9090
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