Individual
CANDICE D CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1946 ONA MARIE AVE, N LAS VEGAS, NV 89032-4867
(702) 488-2559
Mailing address
1946 ONA MARIE AVE, N LAS VEGAS, NV 89032-4867
(702) 488-2559
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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