Individual
CANDACE WIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
257 HOLLY GLENN, MONROE, MI 48161-5761
(734) 790-1280
Mailing address
257 HOLLY GLENN, MONROE, MI 48161-5761
(734) 790-1280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103541
MI
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
04/13/2016
Last updated
11/22/2022
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