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Individual

MR. FERNANDO JOSE GARZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RSA

Contact information

Practice address
228 W LINCOLN HIGHWAY 30 # 127, #127, SCHEREVILLE, IN 46375
(630) 291-8614
(630) 216-1105
Mailing address
7146 183RD ST # 111, TINLEY PARK, IL 60477-3933
(630) 750-0792

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000017
IL
246ZS0410X
Surgical Technologist
238.000017
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
238.000017
REGISTERED SURGICAL ASST.
IL
Enumeration date
02/28/2007
Last updated
08/10/2021
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