Individual
CANDACE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FIRST ASSISTANT
Contact information
Practice address
215 E HAWAII AVE, NAMPA, ID 83686
(208) 463-3000
(208) 463-3034
Mailing address
217 W. GEORGIA AVE, SUITE 115, NAMPA, ID 83686
(208) 463-3000
(208) 463-3034
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
CEP11471
CO
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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