Justin Allen Rucker
Justin Allen Rucker is a Peer Specialist in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
409 Camino Del Rio SSan Diego, CA 92108-3504
Phone: (619) 381-7748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1114641495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 29, 2022 |
| Last updated in NPPES | September 29, 2022 |
| Certification date | September 29, 2022 |
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