Individual
CANDACE MARI BORDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14129 S SHOREVIEW DR, MEDICAL LAKE, WA 99022-9345
(509) 299-9184
Mailing address
14129 S SHOREVIEW DR, MEDICAL LAKE, WA 99022-9345
(509) 299-9184
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910926049
SCHOOL DISTRICT
WA
Enumeration date
05/23/2013
Last updated
05/23/2013
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