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Individual

CANDACE TYANNA HUDNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1625 E 17TH ST STE 100, SANTA ANA, CA 92705-8517
(323) 794-6695
Mailing address
16175 DAWN WAY UNIT 105, TUSTIN, CA 92782-2870

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
96171
CA

Other

Enumeration date
04/09/2024
Last updated
04/05/2026
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