NPI 1417829482

Jose Candelaria

Practitioner Driver Roswell, NM

Practice location

Address: 325 E Bonney St, Roswell, NM 88203-5903
Phone: (432) 703-3029

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1417829482
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2025
Record last updated: 19 Sep 2025

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.