Individual
CANDACE QUATINA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13790 ROCKPORT COURT, MORENO VALLEY, CA 92553
(310) 920-3400
Mailing address
5505 E SANTA ANA CANYON RD, ANAHEIM, CA 92817-1200
(310) 920-3400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
334700412
CA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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