Individual
CANDACE JO LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 GLENDALE BLVD, PARCHMENT, MI 49004-1317
(269) 492-7842
Mailing address
119 GLENDALE BLVD, PARCHMENT, MI 49004-1317
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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