Blake, Candance Luchetta

Blake, Candance Luchetta is an individual health care provider with primary practice located at 15251 Pleasant Valley Rd , Center City MN 55012-9640. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Blake, Candance Luchetta can be contacted via phone (651) 213-4494.

Contact Information

Primary practice address
15251 Pleasant Valley Rd Center City MN 55012-9640
Phone: (651) 213-4494
Fax: (651) 213-4411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1770735912
LBN Legal business name Blake, Candance Luchetta
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 17 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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