Individual
ZENAIDA CANDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 WEST MAIN STREET, BENNETTSVILLE, SC 29512-2495
(843) 479-1200
Mailing address
210 WEST MAIN STREET, BENNETTSVILLE, SC 29512-2495
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22963
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229639
—
SC
Enumeration date
08/18/2006
Last updated
09/01/2017
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