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Individual
CANDACE K PELLA
Active
Individual
CANDACE K PELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4734
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125107
UCARE
MN
01
—
134G1PE
BLUE CROSS BLUE SHIELD
MN
01
—
6405366
MEDICA
MN
05
—
713523800
—
MN
01
—
936131043346
PREFERRED ONE
MN
01
—
HP49410
HEALTH PARTNERS
MN
Enumeration date
05/25/2006
Last updated
04/26/2022
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