Individual
MS. CANDACE S. PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, VATL, ATC
Contact information
Practice address
10900 UNIVERSITY BLVD, MS 4E5, MANASSAS, VA 20110-2201
(703) 993-4389
Mailing address
13107 AUTUMN WOODS WAY, APT. F, FAIRFAX, VA 22033-5020
(703) 803-2909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000818
VA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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