Individual
MRS. BLENDA CHRISTINA RUGGIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
421 WEST MAIN STREET, LANCASTER, SC 29720
(032) 858-7008
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2703
SC
363AS0400X
Surgical Physician Assistant
25MP00081300
NJ
Other
Enumeration date
05/09/2007
Last updated
07/08/2019
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