Individual
CANDY SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N RIDGEWOOD AVE, EDGEWATER, FL 32132-1617
(386) 427-8403
(386) 427-8410
Mailing address
315 N RIDGEWOOD AVE, EDGEWATER, FL 32132-1617
(386) 427-8403
(386) 427-8410
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50062
FL
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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