NPI 1114295052

Juan Camachoaclderon

Practitioner Independent Duty Corpsman Summerville, SC

Practice location

Address: 204 Maplewood Ridge, Summerville, SC 29483
Phone: (410) 841-4747

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1114295052
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2011
Record last updated: 7 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.