Individual
MR. CARLOS RAUL LEIVA SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
3264 PLUM CREEK DR, COLUMBUS, OH 43219-7341
(830) 596-3603
Mailing address
3264 PLUM CREEK DR, COLUMBUS, OH 43219-7341
(830) 596-3603
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-527
WI
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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