Individual
MRS. VICKY ANN JERVIS-ROZYCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1333 TAYLOR ST, SUITE 4-E, COLUMBIA, SC 29201-2923
(803) 296-8906
(803) 296-8908
Mailing address
1333 TAYLOR ST, SUITE 4-E, COLUMBIA, SC 29201-2923
(803) 296-8906
(803) 296-8908
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
97811
SC
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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