Individual
CANDACE JANELL CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1010 CARBON CT UNIT F, ERIE, CO 80516-8403
(303) 408-2292
Mailing address
320 WHITETAIL CIR, LAFAYETTE, CO 80026-9068
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0011076
CO
Other
Enumeration date
04/30/2019
Last updated
06/11/2019
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