Individual provider · Type 1 NPI

Jeremy Rucker

Driver · Walla Walla, WA

NPI number 1992494587 Active

Practice location

414 N 7th Ave
Walla Walla, WA 99362-1717

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1992494587

Jeremy Rucker's National Provider Identifier is 1992494587, issued on May 1, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Walla Walla, WA. The record was last updated on May 1, 2023.