JAVIER ENRIQUE CANAHUATI ESCOBAR

MYRTLE BEACH, SC
NPI1164125050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
JAVIER ENRIQUE CANAHUATI ESCOBAR DO
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-692-1118
Mailing Address
JAVIER ENRIQUE CANAHUATI ESCOBAR DO
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-692-1118
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