Individual
BRAD JAMES CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3009 LOUISIANA BLVD NE STE C, ALBUQUERQUE, NM 87110-2753
(505) 521-2100
Mailing address
6601 NATALIE AVE NE, ALBUQUERQUE, NM 87110-1311
(505) 715-3331
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NM
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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