Individual
THOMAS JAMES MRUSKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
480 CARRICK LOOP, LONGS, SC 29568-9018
(848) 234-3922
Mailing address
480 CARRICK LOOP, LONGS, SC 29568-9018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
51849
SC
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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