Individual
CANDICE LATICIA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
143 WISHING VIEW DR APT D, WEBSTER, NY 14580-3158
(585) 465-1961
Mailing address
143 WISHING VIEW DR APT D, WEBSTER, NY 14580-3158
(585) 465-1961
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
343699-01
NY
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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