Individual
MRS. CANDICE SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4 HOWELL PLACE, SPEONK, NY 11972-0761
(631) 903-3929
Mailing address
PO BOX 761, SPEONK, NY 11972-0761
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301915-1
NY
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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