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Organization

CANDACE M FUNDERBURK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDACE M FUNDERBURK CRNA (OWNER)
(318) 508-2009
Entity
Organization

Contact information

Practice address
881 DESS RD, FLORIEN, LA 71429-4267
(318) 508-2009
Mailing address
881 DESS RD, FLORIEN, LA 71429-4267

Taxonomy

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

Other

Enumeration date
04/03/2015
Last updated
04/03/2015
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