Individual
MS. MARY JOSEPHINE OCHIENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
116 KINGSTON TRACE RD, COLUMBIA, SC 29229-7661
(803) 699-5235
Mailing address
116 KINGSTON TRACE RD, COLUMBIA, SC 29229-7661
(803) 699-5235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R97149
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
3592
SC
Other
Enumeration date
02/24/2008
Last updated
11/10/2020
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