IndividualActive
Marianella Mijares, CSFA
NPI 1912491895 · Surgical Assistant · Ridgeland, SC
Provider details
- NPI number
- 1912491895
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSFA
- Sex
- Female
- Sole proprietor
- No
- License
- 180808
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1316 Hearthstone Dr
Ridgeland, SC 29936-7088
Phone: (352) 397-7450
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1460
Hardeeville, SC 29927-1460
Registry dates
- Enumerated
- 2018-06-14
- Last updated
- 2018-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.