Individual
KATINA M CANDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 483A, SAINT LOUIS, MO 63141-8232
(314) 251-2095
Mailing address
PO BOX 890700, TEMECULA, CA 92589-0700
(951) 233-6205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2013032509
MO
363A00000X
Physician Assistant
22905
CA
363A00000X
Physician Assistant
8547052-1206
UT
Other
Enumeration date
04/23/2013
Last updated
12/04/2013
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