Individual
MRS. CANDACE S. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
4441 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 600-9180
Mailing address
4441 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 600-9180
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40437
CA
Other
Enumeration date
01/31/2025
Last updated
02/11/2025
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