Individual
CANDACE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 DONEGAL DR, MELBOURNE, FL 32940-6055
(228) 243-1905
Mailing address
1416 DONEGAL DR, MELBOURNE, FL 32940-6055
(228) 243-1905
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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