Individual
CANDACE RENEE ONEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51355 PLYMOUTH VALLEY DR, PLYMOUTH, MI 48170-6371
(248) 506-3698
Mailing address
51355 PLYMOUTH VALLEY DR, PLYMOUTH, MI 48170-6371
(248) 506-3698
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
O540108734754
MI
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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