Individual provider · NPI-1

Edwin C Carandang, SA-C

Specialist/Technologist, Other, Surgical Assistant · Lorain, OH

NPI number1245651967
StatusActive
Last updated in NPPESMar 14, 2014

Details

NPI
1245651967
Entity type
Individual (NPI-1)
Name
Mr. Edwin C Carandang
Credential
SA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 23, 2013
Last updated
Mar 14, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant––Yes

Practice location

777 Glantz Dr
Lorain, OH 44055-3043

Phone 440-397-0542

Mailing address

777 Glantz Dr
Lorain, OH 44055-3043

Phone 440-397-0542

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