Individual
CANDICE MILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
419 S 8TH ST APT 1B, PHILADELPHIA, PA 19147
(443) 717-2111
Mailing address
419 S 8TH ST APT 1B, PHILADELPHIA, PA 19147-1319
(443) 717-2111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006513
PA
Other
Enumeration date
07/13/2018
Last updated
07/18/2018
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