Individual
MRS. CANDACE F. ZICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1 CHILDRENS PLZ, DEVELOPMENTAL PEDIATRICS, DAYTON, OH 45404-1898
(937) 641-4000
(937) 641-5076
Mailing address
3372 RIDGEWAY RD, KETTERING, OH 45419-1120
(937) 299-5014
(937) 299-5014
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN-264091
OH
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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