Individual
CANDACE PARKS PASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 SEATTLE SLEW LN, CARY, NC 27519-5408
(910) 384-2276
Mailing address
1206 SEATTLE SLEW LN, CARY, NC 27519-5408
(910) 384-2276
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5027
NC
Other
Enumeration date
05/28/2014
Last updated
12/10/2014
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