JUSTIN RUCKER

Peer Specialist

Active Individual
NPI: 1114641495

Practice Address

409 CAMINO DEL RIO S
San Diego, CA 92108

Phone: (619) 381-7748

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1114641495 is the National Provider Identifier for JUSTIN RUCKER, a Peer Specialist provider located in San Diego, CA. This NPI was enumerated on September 29, 2022.
JUSTIN RUCKER practices at 409 CAMINO DEL RIO S, San Diego, CA 92108.

Quick Facts

NPI
1114641495
Type
Individual
Enumerated
Sep 29, 2022
Last Updated
Sep 29, 2022

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