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Individual

REBECA D CANDAL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5060
Mailing address
230 W HALL AVE, PMB400, SLIDELL, LA 70460-2635
(985) 785-2221
(985) 785-1118

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L06628R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1353469
LA
Enumeration date
08/18/2005
Last updated
07/08/2007
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