Individual
MRS. CANDICE CHRISTINA MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A
Contact information
Practice address
17250 PALOS VERDES DR, EAGLE RIVER, AK 99577-8133
(907) 696-4433
Mailing address
PO BOX 773575, EAGLE RIVER, AK 99577-3575
(907) 696-4433
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
401722
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC7062
—
AK
Enumeration date
03/08/2007
Last updated
07/09/2007
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