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Individual

MRS. CANDACE M FUNDERBURK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
881 DESS RD, FLORIEN, LA 71429-4267
(318) 586-4621
Mailing address
881 DESS RD, FLORIEN, LA 71429-4267
(318) 586-4621

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
074290
LA

Other

Enumeration date
07/28/2009
Last updated
04/03/2015
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