Individual
CANDICE STEVENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 E CAMPBELL AVE STE 5, CAMPBELL, CA 95008-2048
(408) 726-4700
Mailing address
116 E CAMPBELL AVE STE 5, CAMPBELL, CA 95008-2048
(408) 726-4700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
69248
CA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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