Individual
CANDACE IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 GORDON AVE, LAWRENCEVILLE, NJ 08648-1033
(609) 844-0452
Mailing address
18 LAUREL DR, WRIGHTSTOWN, NJ 08562-2015
(609) 752-2357
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26NJ00911600
NJ
Other
Enumeration date
03/21/2019
Last updated
07/12/2021
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