Individual
MRS. CANDACE RAY BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
309 WALNUT ST STE D, AMITE, LA 70422-2055
(985) 247-5023
(985) 748-9942
Mailing address
705 SHERRI DR, AMITE, LA 70422-2054
(985) 247-5023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210921
LA
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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