Individual provider · Type 1 NPI

Cierra Rucker

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1043987225 Active

Practice location

2865 Logan Ave
San Diego, CA 92113-2411

Call (619) 232-4357 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043987225

Cierra Rucker's National Provider Identifier is 1043987225, issued on Aug 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Aug 25, 2021.