Individual
CANDLE CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3820 S SHAVER ST, SOUTH HOUSTON, TX 77587-5206
(832) 257-4276
Mailing address
3820 S SHAVER ST, SOUTH HOUSTON, TX 77587-5206
(832) 257-4276
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000000548
TX
2255A2300X
Athletic Trainer
Primary
AT46075
TX
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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