Individual
MISS CANDICE EVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11900 ARTESIA BLVD, ARTESIA, CA 90701-4039
(562) 865-0271
Mailing address
11900 ARTESIA BLVD, ARTESIA, CA 90701-4039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12172
CA
Other
Enumeration date
10/24/2017
Last updated
11/06/2018
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