Individual
CANDACE RENEE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5304 SILTSTONE LOOP, KILLEEN, TX 76542-5779
(214) 796-0418
Mailing address
5304 SILTSTONE LOOP, KILLEEN, TX 76542-5779
(214) 796-0418
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
334202
TX
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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