Individual
CANDICE EZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 MAPLE ST, DANSVILLE, NY 14437-9182
(585) 335-5052
Mailing address
5018 EGYPT RD, CANANDAIGUA, NY 14424-9317
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316138-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161039939
ALL OTHER INSURANCES
NY
05
—
161039939
—
NY
Enumeration date
07/21/2022
Last updated
07/21/2022
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