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Individual

MS. CANDACE LEIGH RAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4489
Mailing address
5000 N DIVERSEY BLVD, WHITEFISH BAY, WI 53217-5543
(843) 822-0654

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2876-29
WI

Other

Enumeration date
05/12/2016
Last updated
04/25/2025
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