Individual
RAFAEL HUMBERTO CHIRINOS SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
300 PELHAM RD APT 62, GREENVILLE, SC 29615-3138
(864) 363-6971
Mailing address
300 PELHAM RD APT 62, GREENVILLE, SC 29615-3138
(864) 363-6971
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-418
SC
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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