Individual
ALEC MCCANDLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 N U ST, FRESNO, CA 93701-2438
(559) 445-9094
Mailing address
153 N U ST, FRESNO, CA 93701-2438
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5594459094
CONTACT
CA
Enumeration date
03/04/2020
Last updated
03/04/2020
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