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Individual

CANDACE LYNNE BLAUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2930 DOMINGO AVE # 1565, BERKELEY, CA 94705-2454
(510) 399-0793
Mailing address
2930 DOMINGO AVE # 1565, BERKELEY, CA 94705-2454
(510) 399-0793
(925) 309-6404

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1087438
TX
363L00000X
Nurse Practitioner
Primary
95025230
CA
363L00000X
Nurse Practitioner
APRN11038996
FL

Other

Enumeration date
07/12/2022
Last updated
11/03/2025
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