Candice Selgado, PA-C

NPI #1013203694 in Farmington, New Mexico

Provider Information

NPI Number: 1013203694
Entity Type: Individual
Name: Candice Selgado, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 22, 2011
Last Updated: Jun 22, 2011

Practice Location

Address: 622 W MAPLE ST STE C
City: Farmington
State: New Mexico
ZIP Code: 87401-6589
Phone: (505) 327-9694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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