Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethel Rucker

Individual provider Case Manager/Care Coordinator · NPI 1861212656

Ethel Rucker is a Case Manager/Care Coordinator in Montclair, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
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Practice location Address checks out

5080 Kingsley St
Montclair, CA 91763-3845
Phone: (909) 319-2240
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Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (CA)

Record details

NPI number1861212656
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 15, 2024
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address1497 Upland Hills Dr S, Upland, CA 91786-2424

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