Individual
CANDICE MARION SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(206) 271-5900
Mailing address
2600 MARBLE NE, BLDG 2, ALBUQUERQUE, NM 87131
(505) 272-8551
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
06/12/2017
Last updated
09/25/2017
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