Individual
KACEY CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10224 AIRPORT WAY STE A, SNOHOMISH, WA 98296-8203
(360) 863-6696
Mailing address
17204 118TH LN SE APT O101, RENTON, WA 98058-6233
(909) 237-2693
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689148090
NPPES
WA
Enumeration date
03/15/2022
Last updated
08/30/2024
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