CANDELARIO BALDERAS

PHOENIX, AZ
NPI1427474717
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  10777a)
Enumeration Date2014-03-11
Last Update Date2014-03-11
Business Address
-- CANDELARIO BALDERAS
15414 N 7TH ST
PHOENIX, AZ 85022-3519
Phone number: 602-476-7519
Mailing Address
-- CANDELARIO BALDERAS
7011 W VERMONT AVE
GLENDALE, AZ 85303-5816
Phone number: 623-512-8091
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