Individual
MRS. CANDICE GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
621 LONDONDERRY LN, DENTON, TX 76205-7792
(940) 483-0644
Mailing address
201 HILLCREST LN, DECATUR, TX 76234-1791
(682) 401-9234
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1009290
TX
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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