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Jordan Taylor Rucks
Student in an Organized Health Care Education/Training Program in Centereach, New York
NPI 1255932539

Jordan Taylor Rucks is a Student in an Organized Health Care Education/Training Program based in Centereach, NY. Jordan Taylor Rucks practices in Centereach, NY. The NPI Number for Jordan Taylor Rucks is 1255932539 and holds a License No. (New York).

The current practice location address for Jordan Taylor Rucks is 17 Hollingsworth Pl, Centereach, NY and can be reached out via phone at 772-214-5356.

Location: 17 Hollingsworth Pl, Centereach, NY, 11720-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255932539
Provider Name
Jordan Taylor Rucks
Credential
Provider Entity Type
Individual
Gender
Female
Address
17 Hollingsworth Pl, Centereach, NY, 11720-2111
Phone Number
772-214-5356
Fax Number
Provider Enumeration Date
11/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17 Hollingsworth Pl
City
Centereach
State
New York
Zip
11720-2111
Phone Number
772-214-5356
Fax Number
person
Provider Business Mailing Address Details
Address
17 Hollingsworth Pl
City
Centereach
State
New York
Zip
11720-2111
Phone Number
772-214-5356
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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