Amora Piccolo, Candiace

Amora Piccolo, Candiace is an sole proprietor health care provider with primary practice located at 488 Salty Way , Eugene OR 97404-2488. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Amora Piccolo, Candiace can be contacted via phone (714) 318-9905.

Contact Information

Primary practice address
488 Salty Way Eugene OR 97404-2488
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD-D-10196307 Oregon
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X CDR-1106542 California

Profile Details

NPI number 1316377484
LBN Legal business name Amora Piccolo, Candiace
Credentials RD, LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2013
Last updated Nov 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316377484 NPPES
California MEDICAID 1316377484

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