Individual
CANDACE YOLANDA KIRVEN-PRAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 FRANK H OGAWA PLZ STE 4340, OAKLAND, CA 94612-2092
(510) 238-6130
Mailing address
150 FRANK H OGAWA PLZ STE 4340, OAKLAND, CA 94612-2092
(510) 238-6130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073934212
—
CA
Enumeration date
06/05/2018
Last updated
06/05/2018
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