Individual
DIAMOND MONIQUE CANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8114 MAPLE DR SW, COVINGTON, GA 30014-3489
(414) 333-8165
Mailing address
8114 MAPLE DR SW, COVINGTON, GA 30014-3489
(414) 333-8165
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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