Individual provider · NPI-1

Adrian Gabriel Candelaria

Technician, Attendant Care Provider · Tucson, AZ

NPI number1902592355
StatusActive
Last updated in NPPESApr 17, 2023

Details

NPI
1902592355
Entity type
Individual (NPI-1)
Name
Adrian Gabriel Candelaria
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2023
Certification date
Apr 17, 2023
Last updated
Apr 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider–AZYes

Practice location

5700 E Pima St Ste E
Tucson, AZ 85712-5637

Phone 520-232-2021

Mailing address

3636 N Campbell Ave Apt 5001
Tucson, AZ 85719-1505

Phone 818-402-7577

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