Individual
CANDIDA PLACENCIA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6708 POMANDER AVE, NEW PORT RICHEY, FL 34653-1922
(727) 741-3405
(727) 213-6246
Mailing address
6708 POMANDER AVE, NEW PORT RICHEY, FL 34653-1922
(727) 741-3405
(727) 213-6246
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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