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Individual

CANDACE M. RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1450 MEDICAL CENTER DR, SUITE 3, ROHNERT PARK, CA 94928-2924
(707) 584-8588
(707) 584-2869
Mailing address
1450 MEDICAL CENTER DR, SUITE 3, ROHNERT PARK, CA 94928-2924
(707) 584-8588
(707) 584-2869

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14319
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
284881
REGISTERED NURSE LICENSE
CA
Enumeration date
08/19/2006
Last updated
01/05/2010
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