Individual
CANDICE DAVONA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1185 PEDRO ST, SAN JOSE, CA 95126-3757
(301) 455-3295
Mailing address
701 CURTNER AVE APT 213, SAN JOSE, CA 95125-2051
(301) 455-3295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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