Individual
CANDACE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 HILLSIDE DR, ROLAND, OK 74954-5085
(479) 434-0799
(479) 434-0799
Mailing address
303 HILLSIDE DR, ROLAND, OK 74954-5085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
208656
OK
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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