Individual
LUIS RAFAEL MOSCOTE SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2145 S TONNE DR APT 214, ARLINGTON HEIGHTS, IL 60005-4127
(608) 260-5633
Mailing address
2145 S TONNE DR APT 214, ARLINGTON HEIGHTS, IL 60005-4127
(608) 260-5633
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
25-146
WI
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/28/2025
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