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Individual

DR. KANDACE D. ATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 W. HOSPITAL RD., FRENCH CAMP, CA 95231
(209) 468-6937
(209) 468-7042
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6937
(209) 468-7042

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G77200
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G77200
LICENSE NUMBER
CA
Enumeration date
08/07/2006
Last updated
07/08/2007
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