Most Relevant Information
Provider Data
| NPI Number: | 1003502758 |
| Provider Name: | PATRICIA ALINE ANN GRANADOS |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | F1829540 |
Most Important Dates
| Enumeration Date: | 04/14/2023 |
| Last Updated: | 04/14/2023 |
Provider Practice Location
2719 N AIR FRESNO DR
FRESNO
CA
937271547
Practice Location Phone/Fax
| Phone: | 5597218139 |
| Fax: |
Provider Mailing Location
2719 N AIR FRESNO DR
FRESNO
CA
937271547
Provider Mailing Phone/Fax
| Phone: | 5597218139 |
| Fax: |