Susana Cruz, | |
4627 Wild Iris Dr Apt 203, Myrtle Beach, SC 29577-8746 | |
(845) 248-5786 | |
Not Available |
Full Name | Susana Cruz |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 4627 Wild Iris Dr Apt 203, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750621108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 311499 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Susana Cruz, 4627 Wild Iris Dr Apt 203, Myrtle Beach, SC 29577-8746 Ph: (845) 248-5786 | Susana Cruz, 4627 Wild Iris Dr Apt 203, Myrtle Beach, SC 29577-8746 Ph: (845) 248-5786 |
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Sharon H Lallement, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 104 George Bishop Pkwy, Myrtle Beach, SC 29579 Phone: 800-805-6989 | |
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