Individual
MS. CANDACE ANNE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 454-4777
Mailing address
400 CURTIS ST NE, GRAND RAPIDS, MI 49505-5145
(616) 454-4777
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704132592
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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