Individual
MS. CANDACE FRANCES BEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM, PAC
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC004286L
PA
363AM0700X
Medical Physician Assistant
MA003432L
PA
363AM0700X
Medical Physician Assistant
Primary
PA08606L
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53-0196960
—
MD
Enumeration date
03/30/2012
Last updated
01/08/2023
Update your record
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