Candis Joan Cousins, PAC

NPI #1831207166 in South Burlington, Vermont

Provider Information

NPI Number: 1831207166
Entity Type: Individual
Name: Candis Joan Cousins, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Aug 28, 2006
Last Updated: Feb 7, 2011

Practice Location

Address: 364 DORSET ST
Address 2: STE 2
City: South Burlington
State: Vermont
ZIP Code: 05403-6270
Phone: (802) 859-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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