Individual
DANIELLE CANDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704278004
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704278004
MI
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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