THERESA K HANICAK

CHARLESTON, SC
NPI1740942499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  25550)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-10-11
Last Update Date2021-11-09
Business Address
THERESA K HANICAK CRNA
9263 MEDICAL PLAZA DR STE E
CHARLESTON, SC 29406-7112
Phone number: 843-572-1228
Mailing Address
THERESA K HANICAK CRNA
9263 MEDICAL PLAZA DR STE E
CHARLESTON, SC 29406-7112
Phone number: 843-572-1228