Individual
CANDACE C AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
160 S 7TH AVE, LA PUENTE, CA 91744
(626) 961-8971
Mailing address
160 S 7TH AVE, LA PUENTE, CA 91744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
779066
CA
Other
Enumeration date
08/09/2011
Last updated
03/17/2018
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