Individual
CANDACE D YOUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
507 LICKLITER ST, BENTON, IL 62812-2219
(618) 513-3815
Mailing address
507 LICKLITER ST, BENTON, IL 62812-2219
(618) 513-3815
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.129145
IL
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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