Candice Mashell Mccolor

NPI #1871996892 in Belleville, Michigan

Provider Information

NPI Number: 1871996892
Entity Type: Individual
Name: Candice Mashell Mccolor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 4, 2014
Last Updated: Oct 4, 2014

Practice Location

Address: 49319 SHERWOOD CT
City: Belleville
State: Michigan
ZIP Code: 48111-8844
Phone: (313) 969-2123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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