Individual
MRS. JORDAN BROOKS CUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7111
Mailing address
7319 HIGHWAY 1124, CONWAY, SC 29526-2823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
263808
SC
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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