KENNETH GRANADOS

RIVERSIDE, CA
NPI1225486251
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA54033)
Enumeration Date2016-05-31
Last Update Date2021-01-07
Business Address
KENNETH GRANADOS PA
9990 COUNTY FARM RD
RIVERSIDE, CA 92503-3542
Phone number: 951-440-5098
Mailing Address
KENNETH GRANADOS PA
3301 MICHELSON DR APT 1342
IRVINE, CA 92612-8902
Phone number: 951-440-5098
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