Jayvana Rucker
Jayvana Rucker is a Prosthetist in Syracuse, New York. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
755 N Salina StSyracuse, NY 13208-2510
Phone: (315) 455-9090
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Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X |
|---|---|
| Prosthetist | Taxonomy 224P00000X |
Record details
| NPI number | 1215711064 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 22, 2023 |
| Last updated in NPPES | August 22, 2023 |
| Certification date | August 22, 2023 |
| Mailing address | 755 N Salina St, Syracuse, NY 13208-2510 |
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