Individual
CANDICE ODETTE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-5096
Mailing address
1600 EUREKA ROAD, MOB 1, ORTHO, BLDG D, ROSEVILLE, CA 95661-3027
(916) 784-5096
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
A111195
CA
390200000X
Student in an Organized Health Care Education/Training Program
0116016815
VA
Other
Enumeration date
05/18/2007
Last updated
02/09/2024
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