Individual
CANDIS A PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 6TH ST, BAKER CITY, OR 97814-4218
(541) 519-6887
Mailing address
1403 6TH ST, BAKER CITY, OR 97814-4218
(541) 519-6887
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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