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Individual

AMBER LEEANN CANDELARIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
4030 HIGHWAY 6 S STE 150, COLLEGE STATION, TX 77845-1808
(979) 431-3380
Mailing address
2701 WOOD CT, BRYAN, TX 77808-2287
(979) 324-0339

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338154
TX

Other

Enumeration date
07/18/2018
Last updated
07/18/2018
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