IndividualActive
Jeremy Rucker
NPI 1992494587 · Driver · Walla Walla, WA
Provider details
- NPI number
- 1992494587
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
414 N 7th Ave
Walla Walla, WA 99362-1717
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.