JUAN ENCISO

CHARLESTON, SC
NPI1659909588
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: FL  OS19909)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-27
Last Update Date2024-04-22
Business Address
JUAN ENCISO DO
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-3438
Phone number: 843-876-4794
Mailing Address
JUAN ENCISO DO
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number: 843-876-4794