Individual
CANDACE NTIAMOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3597 KINGSWAY DR, CROWN POINT, IN 46307-8934
(773) 619-1192
Mailing address
3597 KINGSWAY DR, CROWN POINT, IN 46307-8934
(773) 619-1192
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28194594A
IN
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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