KACEY IDOUCHI

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1750141248

Practice Address

58 UPPER POND RD
Columbia, SC 29223

Phone: (917) 660-1241

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1750141248 is the National Provider Identifier for KACEY IDOUCHI, a Student in an Organized Health Care Education/Training Program provider located in Columbia, SC. This NPI was enumerated on March 20, 2024.
KACEY IDOUCHI practices at 58 UPPER POND RD, Columbia, SC 29223.

Quick Facts

NPI
1750141248
Type
Individual
Enumerated
Mar 20, 2024
Last Updated
Mar 20, 2024

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