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Individual

CANDACE KASPERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4350 MOUNT EVEREST BLVD # B12, SAN DIEGO, CA 92117-4847
(858) 627-7590
Mailing address
PO BOX 7189, SAN DIEGO, CA 92167-0189
(858) 395-5852

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
499304
CA

Other

Enumeration date
09/09/2021
Last updated
09/09/2021
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