Individual
MRS. JILL A HRUSKOCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1150 HANLEY INDUSTRIAL CT, BRENTWOOD, MO 63144-1910
(314) 968-9313
Mailing address
1150 HANLEY INDUSTRIAL CT, BRENTWOOD, MO 63144-1910
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
052742
MO
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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