Individual
TIFFANY JANG SOCHUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
99 WESTEDGE ST APT 508, CHARLESTON, SC 29403-4993
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1160398
KY
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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