Individual
SAMANTHA KAYE CANDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 FOUNTAIN GROVE PL, CHULA VISTA, CA 91915-4112
(619) 888-9379
Mailing address
1414 FOUNTAIN GROVE PL, CHULA VISTA, CA 91915-4112
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
165070
CA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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