Vallarta, Candace Monique

Vallarta, Candace Monique is an individual health care provider with primary practice located at 20342 Flanagan Road , Trabuco Canyon CA 92679. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Vallarta, Candace Monique can be contacted via phone (818) 582-8832.

Contact Information

Primary practice address
20342 Flanagan Road Trabuco Canyon CA 92679
Fax: (818) 582-8836
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X

Profile Details

NPI number 1205404811
LBN Legal business name Vallarta, Candace Monique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated Jun 11th, 2021 - about 3 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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