Individual
CANDACE DENISE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 N 4TH ST W, CLYDE, TX 79510-3664
(806) 281-4520
Mailing address
122 N 4TH ST W, CLYDE, TX 79510-3664
(806) 281-4520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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