Individual
CANDICE UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 650-0164
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 650-0164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2025-0207
NM
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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