Individual
MS. CANDIDA ANN HALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 HEALTH CENTER DR STE 101, MATTOON, IL 61938-4644
(217) 258-4020
(217) 258-4023
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1111808
IL
Other
Enumeration date
07/09/2013
Last updated
03/05/2024
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