Individual
MS. SALLY CANDELARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
1519 CRESCENT SHORES LN, SEABROOK, TX 77586-4161
(281) 713-1692
Mailing address
1519 CRESCENT SHORES LN, SEABROOK, TX 77586-4161
(281) 713-1692
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
01/25/2021
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