Individual
CANDACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
75 VARICK ST FL 5, NEW YORK, NY 10013-1917
(855) 961-1942
Mailing address
1753 FUNSTON SIGSBEE RD, MOULTRIE, GA 31768-8300
(229) 456-7954
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN089961
GA
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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