Juan Camachoaclderon

Individual provider Independent Duty Corpsman · NPI 1114295052

Juan Camachoaclderon is an Independent Duty Corpsman in Summerville, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since: 2011

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Practice location Address checks out

204 Maplewood Rdg
Summerville, SC 29483
Phone: (410) 841-4747

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary)	Taxonomy 1710I1002X

Record details

NPI number	1114295052
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	December 7, 2011
Last updated in NPPES	December 7, 2011