Individual
JEAN-MARC DANIEL GRINDATTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4505 DONA MARGUERITA AVE NE, ALBUQUERQUE, NM 87111-2441
(505) 715-1525
Mailing address
1248 W ELLA DR, CORRALES, NM 87048-7236
(505) 715-1525
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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