Individual
KANDACE GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP, CFM, LPO
Contact information
Practice address
317 S 11TH AVE, YAKIMA, WA 98902-3213
(509) 469-9995
(509) 469-9994
Mailing address
1700 N CHRISMAN RD, TRACY, CA 95304-9314
(509) 469-9995
(509) 469-9994
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000100
WA
224P00000X
Prosthetist
Primary
PS00000099
WA
225000000X
Orthotic Fitter
PS00000099
WA
Other
Enumeration date
07/19/2010
Last updated
01/10/2012
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