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Individual

WINONA P. MOCHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-6711
(803) 329-5120
Mailing address
PO BOX 2974, ROCK HILL, SC 29732-4974
(803) 985-4551
(803) 985-4543

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11529
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A9387
MEDCOST
05
AN0035
SC
Enumeration date
10/18/2005
Last updated
10/09/2007
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