Individual
MRS. CANDI LE DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MP
Contact information
Practice address
209 21ST AVE SW, A203, PUYALLUP, WA 98371-7507
(253) 678-6738
Mailing address
209 21ST AVE SW, A203, PUYALLUP, WA 98371-7507
(253) 678-6738
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020910
WA
Other
Enumeration date
04/03/2008
Last updated
09/28/2008
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