Individual
CANDACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
113398
NC
Other
Enumeration date
10/22/2016
Last updated
10/22/2016
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