Individual
CANDACE LEE CONGLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 W MAIN ST, PECAN GAP, TX 75469-9604
(903) 359-6401
Mailing address
204 W MAIN ST, PECAN GAP, TX 75469-9604
(903) 359-6401
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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