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Individual

BRITTANY LONDON RUSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
222 HERLONG AVE S, ROCK HILL, SC 29732-1158
(803) 329-1234
Mailing address
1546 MAYPINE COMMONS WAY, ROCK HILL, SC 29732-2735
(803) 981-3914

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236851
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
23968
SC

Other

Enumeration date
06/04/2020
Last updated
06/11/2020
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