Individual
CANDI CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 50TH ST, KENOSHA, WI 53140-3336
(262) 977-8793
Mailing address
915 PARK AVE, WINTHROP HARBOR, IL 60096-1737
(847) 877-5086
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1026-55
WI
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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