Individual
MRS. CANDYCE AUDRA WHITEHAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX 120, REHOBOTH, NM 87322-0120
(505) 721-1896
Mailing address
PO BOX 120, REHOBOTH, NM 87322-0120
(505) 721-1896
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
61133
NM
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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