Individual
CANDACE MAGLINAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6363 N STATE HIGHWAY 161 STE 100, IRVING, TX 75038-2239
(469) 200-3272
Mailing address
502 TORRANCE BLVD, REDONDO BEACH, CA 90277-3413
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
95014533
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
1067006
TX
363LG0600X
Gerontology Nurse Practitioner
95014533
CA
Other
Enumeration date
10/30/2020
Last updated
12/02/2022
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