Individual
CANDICE REDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 N BROADWAY, ESCONDIDO, CA 92026-3044
(760) 745-7490
Mailing address
1050 N BROADWAY, ESCONDIDO, CA 92026-3044
(760) 745-7490
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720333537
—
CA
Enumeration date
11/10/2017
Last updated
11/10/2017
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