Individual
CANDACE REBECCA STAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-4060
Mailing address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-4060
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
909467
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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