Individual
CANDICE NICOLE COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5960 HOWDERSHELL RD, SUITE 204, HAZELWOOD, MO 63042-4100
(314) 895-1136
Mailing address
5960 HOWDERSHELL RD, SUITE 204, HAZELWOOD, MO 63042-4100
(314) 895-1136
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2014035392
MO
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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