Individual
DEBORAH CANDICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4532 HARVSHIRE CT, SAINT LOUIS, MO 63128-3625
(314) 807-3354
Mailing address
4532 HARVSHIRE CT, SAINT LOUIS, MO 63128-3625
(314) 807-3354
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
154857
MO
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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