Candice L Davenport

NPI #1912146648 in Yuma, Arizona

Provider Information

NPI Number
1912146648
Entity Type
Individual
Name
Candice L Davenport
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Feb 19, 2009
Last Updated
Feb 19, 2009

Practice Location

Address
1850 S AVENUE B APT 7C
City
Yuma
State
Arizona
ZIP Code
85364-5166
Phone
(928) 580-6396

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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