Individual
ELEAZER COVARRUBIAS ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3806 E EFFINGHAM HWY, EFFINGHAM, SC 29541-7554
(843) 432-8157
Mailing address
3806 E EFFINGHAM HWY, EFFINGHAM, SC 29541-7554
(843) 432-8157
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
63735
SC
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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