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Individual

CANDACE ELISABETH DEL VALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
18511 HIGHLANDER MEDICS ST, EL PASO, TX 79906-5327
(915) 742-2273
Mailing address
1448 GROVE PARK DR APT 1311, COLUMBUS, GA 31904-1598
(925) 360-0821

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000040799
VA
2255A2300X
Athletic Trainer
AT004253
GA
2255A2300X
Athletic Trainer
Primary
AT9945
TX

Other

Enumeration date
01/15/2020
Last updated
12/17/2024
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