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MISS CANDICE EVINS
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1720590201
Individual Registrant:MISS CANDICE EVINS
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
11900 ARTESIA BLVD ARTESIA, CA 90701-4039 US
Tel: 562-865-0271 Fax: --
Tel: 562-865-0271 Fax: --
Contact information for business:
11900 ARTESIA BLVD ARTESIA, CA 90701-4039 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1720590201
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | CA | 12172 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
