Individual
DR. CANDICE LILLIAN BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 CAMARILLO RANCH RD STE 101, CAMARILLO, CA 93012-5901
(805) 273-5478
(805) 852-2688
Mailing address
400 CAMARILLO RANCH RD STE 101, CAMARILLO, CA 93012-5901
(805) 273-5478
(805) 852-2688
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
20A14792
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
DO2364
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO2364
NV LICENSE
NV
Enumeration date
02/20/2013
Last updated
02/11/2020
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