JONATHAN IVAN GRANADOS

SANTA MARIA, CA
NPI1871376582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-08-16
Last Update Date2024-01-12
Business Address
JONATHAN IVAN GRANADOS
430 S BLOSSER RD
SANTA MARIA, CA 93458-4908
Phone number: 053-618-9008
Mailing Address
JONATHAN IVAN GRANADOS
2050 S BLOSSER RD
SANTA MARIA, CA 93458-7310
Phone number:
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