person
Kacey Idouchi
Student in an Organized Health Care Education/Training Program in Columbia, South Carolina
NPI 1750141248

Kacey Idouchi is a Student in an Organized Health Care Education/Training Program based in Columbia, SC. Kacey Idouchi practices in Columbia, SC. The NPI Number for Kacey Idouchi is 1750141248 and holds a License No. (South Carolina).

The current practice location address for Kacey Idouchi is 58 Upper Pond Rd, Columbia, SC and can be reached out via phone at 917-660-1241. You can also correspond with Kacey Idouchi through the mailing address at 58 UPPER POND RD, COLUMBIA, SC - 29223-3054 (mailing address contact number: ).

Location: 58 Upper Pond Rd, Columbia, SC, 29223-3054
person
Provider Profile Details
NPI Number
1750141248
Provider Name
Kacey Idouchi
Credential
Provider Entity Type
Individual
Gender
Female
Address
58 Upper Pond Rd, Columbia, SC, 29223-3054
Phone Number
917-660-1241
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
58 Upper Pond Rd
City
State
Zip
29223-3054
Phone Number
917-660-1241
Fax Number
person
Provider Business Mailing Address Details
Address
58 Upper Pond Rd
City
State
Zip
29223-3054
Phone Number
917-660-1241
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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