Individual
MRS. CANDY NORDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4440 BROCKTON AVE STE 200, RIVERSIDE, CA 92501-4026
(951) 275-0988
Mailing address
14971 WESTGATE DR, FONTANA, CA 92336-0894
(909) 355-1848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
489682
CA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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