Individual
JOHN P RAINCHUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
299 THREE RUNS CREEK WAY, AIKEN, SC 29803-1680
(860) 919-6038
Mailing address
299 THREE RUNS CREEK WAY, AIKEN, SC 29803-1680
(860) 919-6038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN190863
GA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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