Childress, Candice D

Childress, Candice D is an sole proprietor health care provider with primary practice located at 1946 Ona Marie Ave , N Las Vegas NV 89032-4867. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Childress, Candice D can be contacted via phone (702) 488-2559.

Contact Information

Primary practice address
1946 Ona Marie Ave N Las Vegas NV 89032-4867
Phone: (702) 488-2559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1447596705
LBN Legal business name Childress, Candice D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2012
Last updated Dec 13th, 2012 - about 13 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.

Request for update

Popular Providers