Candice Renee Rios, MA, Areola Artist
Specialist/Technologist, Other, Art, Medical in Fort Worth, TX. Individual provider (NPI-1).
NPI number1114455656
StatusActive
Last updated in NPPESMay 29, 2017
Details
- NPI
- 1114455656
- Entity type
- Individual (NPI-1)
- Name
- Candice Renee Rios
- Credential
- MA, Areola Artist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2017
- Last updated
- May 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZA2600X | Specialist/Technologist, Other, Art, Medical | 3DAreola | TX | Yes |
Practice location
6201 Sunset Dr Ste 650Fort Worth, TX 76116-5521
Phone 817-751-8177
Mailing address
1500 Park Crest DrCrowley, TX 76036-3464
Phone 817-751-8177
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