NPI 1992494587

Jeremy Rucker

Practitioner Driver Walla Walla, WA

Practice location

Address: 414 N 7th Ave, Walla Walla, WA 99362-1717
Phone: (541) 809-8622

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1992494587
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2023
Record last updated: 1 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.