Individual
DAVID JOSE GRANADOS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
625 GARNET ST, IMPERIAL, CA 92251-2516
(760) 457-1491
Mailing address
625 GARNET ST, IMPERIAL, CA 92251-2516
(760) 457-1491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95023930
CA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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