Individual
CYNTHIA JONELL RUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 821-3495
Mailing address
144 SUMMER TRACE DR, SUMMERVILLE, SC 29485-8442
(843) 821-3495
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R98934
SC
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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