Individual
CANDACE JEAN LOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, M.ED
Contact information
Practice address
31 W. 1ST AVE, MANSFIELD, WA 98830-0313
(208) 404-6130
Mailing address
PO BOX 313, MANSFIELD, WA 98830-0313
(208) 404-6130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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