Individual
MRS. CANDICE BRANCH-JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
836 CROWN CROSSING LN, RALEIGH, NC 27610-4063
(919) 706-9845
Mailing address
PO BOX 14632, RALEIGH, NC 27620-4632
(919) 706-9845
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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