Individual
CANDACE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3217 SILVERBACK LN, PAINTED POST, NY 14870-8911
(607) 937-9885
Mailing address
3217 SILVERBACK LN, PAINTED POST, NY 14870-8911
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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