Individual
CANDICE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4553 WATKINS ST, PACE, FL 32571-2511
(302) 761-0687
Mailing address
4553 WATKINS ST, PACE, FL 32571-2511
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L20012374
DE
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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