Individual
CANDACE MARRAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
649 E 104TH ST, BROOKLYN, NY 11236-2503
(347) 413-5441
Mailing address
649 E 104TH ST, BROOKLYN, NY 11236-2503
(347) 413-5441
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
495922
NY
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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