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Organization

HYC VENTURE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HYRUM MARRIOTT CANDLAND PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(480) 620-3596
Entity
Organization

Contact information

Practice address
2552 E CAROL AVE, MESA, AZ 85204-3012
(480) 620-3596
Mailing address
2552 E CAROL AVE, MESA, AZ 85204-3012
(480) 620-3596

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
04/14/2026
Last updated
04/14/2026
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