Individual
CANDACE GENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
548 S CRIMSON CT, BLOOMINGTON, IN 47403-8953
(317) 446-2392
Mailing address
548 S CRIMSON CT, BLOOMINGTON, IN 47403-8953
(317) 446-2392
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28071863C
IN
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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