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Individual

ANNA CANDALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(650) 209-3500
Mailing address
6097 AMADOR PL, NEWARK, CA 94560-4143

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10504
CA

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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