Individual
ELIZABETH GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 ORLEANS ST # 600, BALTIMORE, MD 21287-0010
(410) 502-2651
(410) 614-7764
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06554
MD
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/21/2014
Last updated
11/01/2017
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