Individual
CANDICE KRISTENE CALHOUN
Active
Individual
CANDICE KRISTENE CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.H.S., P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2898
CT
363A00000X
Physician Assistant
PA4507
MA
363AM0700X
Medical Physician Assistant
Primary
2898
CT
Other
Enumeration date
08/16/2012
Last updated
10/09/2019
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