Individual
CANDICE TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
631 S BROOKHURST ST STE 213B, ANAHEIM, CA 92804-3558
(714) 694-2001
Mailing address
631 S BROOKHURST ST STE 213B, ANAHEIM, CA 92804-3558
(949) 701-7123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60100
CA
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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