Individual
CANDICE JOANN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3069 DISNEY DR, IDAHO FALLS, ID 83404-7320
(208) 604-6569
Mailing address
3069 DISNEY DR, IDAHO FALLS, ID 83404-7320
(208) 604-6569
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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