Individual
CANDACE PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 S 119TH AVE, YAKIMA, WA 98908-9596
(509) 965-1633
Mailing address
506 S 119TH AVE, YAKIMA, WA 98908-9596
(509) 965-1633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60152300
WA
Other
Enumeration date
05/13/2007
Last updated
02/15/2013
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