Individual
CANDACE LYNN FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
1620 VICTORY BLVD, GLENDALE, CA 91201-2915
(818) 224-7600
(818) 224-6400
Mailing address
1620 VICTORY BLVD, GLENDALE, CA 91201-2915
(818) 224-7600
(818) 224-6400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25965
CA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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