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Candice Hall

Technician, Personal Care Attendant in Southgate, MI. Individual provider (NPI-1).

NPI number1487828752
StatusActive
Last updated in NPPESApr 17, 2008

Details

NPI
1487828752
Entity type
Individual (NPI-1)
Name
Candice Hall
Sex
Female
Sole proprietor
No
Enumeration date
Apr 17, 2008
Last updated
Apr 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

19401 Northline Rd
Southgate, MI 48195-2277

Phone 734-785-7718

Mailing address

5062 Academy Dr
Canton, MI 48188-2710

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