Individual
CANDACE JANINE GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(844) 324-6684
Mailing address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-5000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/22/2026
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