Individual
MRS. CANDACE RAINELLE RAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
875 STERTHAUS AVE, ORMOND BEACH, FL 32174-5131
(386) 676-6081
Mailing address
27 POSTVIEW DRIVE, PALM COAST, FL 32164
(386) 313-2850
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN 9245885
FL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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