| Dr Ruckers Wellness Center Inc | |
|
2305 W Midvalley Ave Visalia CA 93277-9455 | |
| (559) 635-1746 | |
| (559) 635-0493 |
| Full Name | Dr Ruckers Wellness Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2305 W Midvalley Ave, Visalia, California |
| Authorized Official Name and Position | Mylene Rucker (PHYSICIAN) |
| Authorized Official Contact | 5596351746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ruckers Wellness Center Inc 2305 W Midvalley Ave Visalia CA 93277-9455 Ph: (559) 635-1746 | Dr Ruckers Wellness Center Inc 2305 W Midvalley Ave Visalia CA 93277-9455 Ph: (559) 635-1746 |
| NPI Number | 1942361282 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 04/20/2010 |
| Medicare PECOS PAC ID | 4385708098 |
|---|---|
| Medicare Enrollment ID | O20090124000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942361282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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