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Individual

CANDACE LEE ROSHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
203 FISHER LN # 8, INDIAN SPRINGS, NV 89018-0279
(725) 502-3758
Mailing address
203 FISHER LN # 8, INDIAN SPRINGS, NV 89018-0279
(725) 502-3758

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
NV
3747A0650X
Attendant Care Provider
NV
3747P1801X
Personal Care Attendant
Primary
NV
376J00000X
Homemaker
NV

Other

Enumeration date
02/14/2020
Last updated
02/14/2020
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