ANGELA RUCKER

Adult Companion

Active Individual
NPI: 1033549340

Practice Address

4549 BANNEKA ST
Orlando, FL 32811

Phone: (321) 872-5782

Specialties

Specialty Code Primary License
Adult Companion 372600000X Yes -
Technician - Attendant Care Provider 3747A0650X No -

Frequently Asked Questions

NPI 1033549340 is the National Provider Identifier for ANGELA RUCKER, a Adult Companion provider located in Orlando, FL. This NPI was enumerated on November 22, 2013.
ANGELA RUCKER practices at 4549 BANNEKA ST, Orlando, FL 32811.

Quick Facts

NPI
1033549340
Type
Individual
Enumerated
Nov 22, 2013
Last Updated
Nov 22, 2013

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