Individual
PHILLIP CANDLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6077 ENCHANTED PEAK AVE, LAS VEGAS, NV 89110-6713
(702) 483-9585
Mailing address
6077 ENCHANTED PEAK AVE, LAS VEGAS, NV 89110-6713
(702) 483-9585
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
02/06/2015
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