Individual
LISA DE CANDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 PLOCH RD, CLIFTON, NJ 07013-1471
(201) 956-5843
Mailing address
136 PLOCH RD, CLIFTON, NJ 07013-1471
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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