Individual
CANDACE ANDREA HADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-7290
(559) 353-7286
Mailing address
9439 N SAYBROOK DR APT 210, FRESNO, CA 93720-0636
(604) 619-2209
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
A160473
CA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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