Individual
MRS. CANDACE HUNNICUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 COUNTY ROAD 2515, BONHAM, TX 75418-6828
(903) 640-3315
Mailing address
PO BOX 631, BONHAM, TX 75418-0631
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
333762
TX
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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