Individual
CANDELARIO BALDERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15414 N 7TH ST, PHOENIX, AZ 85022-3519
(602) 476-7519
Mailing address
7011 W VERMONT AVE, GLENDALE, AZ 85303-5816
(623) 512-8091
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10777A
AZ
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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