Individual
MS. CANDACE M GRANADOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4824 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5412
(505) 897-3575
(505) 897-3726
Mailing address
525 DANDELION LN, CORRALES, NM 87048-7821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
468
NM
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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