Individual
CANDACE MIDDLETON-KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8380 CENTER DR STE E, LA MESA, CA 91942-2952
(619) 466-6077
Mailing address
500 AMALFI LOOP APT 484, MILPITAS, CA 95035-8086
(901) 672-2173
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
—
CA
227900000X
Registered Respiratory Therapist
Primary
36837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
CCS
CA
Enumeration date
07/09/2019
Last updated
07/09/2019
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