Individual
KANDICE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 LAMON ST, FAYETTEVILLE, NC 28301-4901
(910) 514-2827
Mailing address
335 EISLER DR, LILLINGTON, NC 27546-8702
(910) 514-2827
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NC
376K00000X
Nurse's Aide
—
NC
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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