Individual
CANDACE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 LANCASTER DR, TALLAHASSEE, FL 32304-3919
(850) 363-8493
Mailing address
309 LANCASTER DR, TALLAHASSEE, FL 32304-3919
(850) 363-8493
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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