NPI 1013203694

Candice Selgado, PAC

Practitioner Physician Assistant Farmington, NM

Practice location

Address: 622 W Maple St STE C, Farmington, NM 87401-6589
Phone: (505) 327-9694
Fax: (505) 327-7524

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2011-0014 (NM)

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1013203694
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2011
Record last updated: 22 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.