Mack, Candace Holly

Mack, Candace Holly is an sole proprietor health care provider with primary practice located at 428 Main St , Winters CA 95694-1830. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Agencies / Early Intervention Provider Agency. Other Service Providers / Specialist is her primary health care specialty. Mack, Candace Holly can be contacted via phone (530) 794-6083.

Contact Information

Primary practice address
428 Main St Winters CA 95694-1830
Phone: (530) 794-6083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12045 California
Agencies / Early Intervention Provider Agency 252Y00000X 12045 California

Profile Details

NPI number 1114204849
LBN Legal business name Mack, Candace Holly
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2011
Last updated Nov 9th, 2011 - about 15 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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