Individual
MRS. JESSICA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
124 BOARDWALK DR STE A, RIDGELAND, SC 29936-7994
(843) 645-2770
Mailing address
102 SALUDA WAY, BEAUFORT, SC 29906-6043
(843) 441-8492
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
54453
SC
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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