JOCHEN A GRANJA VASQUEZ

COLUMBIA, SC
NPI1790231637
Other NameJOCHEN GRANJA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QH0002X Family Medicine, Hospice and Palliative Medicine
(Licence: SC  92600)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-08-31
Last Update Date2024-10-08
Business Address
JOCHEN A GRANJA VASQUEZ D.O.
1 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203-6834
Phone number: 803-434-6095
Mailing Address
JOCHEN A GRANJA VASQUEZ D.O.
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-695-6697