Individual
CANDIDA SHARON BAHNMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 S FAIR OAKS AVE, PASADENA, CA 91105-2613
(626) 528-1622
Mailing address
PO BOX 401, STANDISH, CA 96128-0401
(859) 397-2889
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NA
CA
Other
Enumeration date
05/09/2025
Last updated
05/13/2025
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