Individual
DR. CANDACE RAE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8915 TOWNE CENTRE DR, SAN DIEGO, CA 92122-5650
(858) 550-9066
Mailing address
701 W BEECH ST STE 503, SAN DIEGO, CA 92101-2669
(979) 567-1177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79660
CA
Other
Enumeration date
02/25/2019
Last updated
04/26/2025
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