Individual
CANDACE MARIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 DEWEY DR STE 202, FAIR OAKS, CA 95628-3131
(916) 536-9130
Mailing address
6117 GRANT AVE, CARMICHAEL, CA 95608-3331
(916) 715-6762
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
297294
CA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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