Individual
MS. CANDACE MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7787 PEPPERCORN LN, NORTH CHARLESTON, SC 29420-8721
(843) 801-0675
Mailing address
7787 PEPPERCORN LN, NORTH CHARLESTON, SC 29420-8721
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
SC
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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