Individual
CARLOS PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 HARTS RIDGE DR, SENECA, SC 29678-1478
(904) 885-7113
Mailing address
1133 HARTS RIDGE DR, SENECA, SC 29678-1478
(904) 885-7113
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2814
SC
133V00000X
Registered Dietitian
9717
FL
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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