Individual
CHRISTIAN TYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9005 TWO NOTCH RD STE 16, COLUMBIA, SC 29223-5850
(843) 694-5329
(218) 434-4760
Mailing address
9401 WILSON BLVD LOT 344, COLUMBIA, SC 29203-9426
(843) 694-5329
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
SC
Other
Enumeration date
02/04/2021
Last updated
05/10/2021
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