Individual
MR. CHARLES JAROD CANDILORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNMT, LMT
Contact information
Practice address
6844 S 500 E, MIDVALE, UT 84047-1347
(801) 597-3113
(801) 264-8361
Mailing address
6844 S 500 E, MIDVALE, UT 84047-1347
(801) 597-3113
(801) 264-8361
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6870286-4701
UT
Other
Enumeration date
08/05/2008
Last updated
01/12/2012
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