Individual
NICHOLAS ENOC GRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 RIDGESIDE TRL SW, ALBUQUERQUE, NM 87121-2550
(505) 227-7456
Mailing address
620 RIDGESIDE TRL SW, ALBUQUERQUE, NM 87121-2550
(505) 227-7456
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
3737
NM
227900000X
Registered Respiratory Therapist
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Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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