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Individual

JENNIFER L CRUISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
ST. LUKE'S MERIDIAN MEDICAL CENTER, 520 S EAGLE RD, MERIDIAN, ID 83642
(208) 406-5001
Mailing address
5717 W ALGONA DR, MERIDIAN, ID 83646-7436

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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