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Mateaka Rucker
NPI 1275073322 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2108 Mallard Crst
Lithonia, GA 30058 - Phone
- (678) 255-9069
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia