Candace Andrea Haddock
Pediatric Surgery
9300 Valley Childrens Pl
Madera
, California 93636-8761
Candace Andrea Haddock
Pediatric Surgery
9300 Valley Childrens Pl
Madera
, California 93636-8761
(604) 619-2209
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Candace Andrea Haddock
- 9439 N Saybrook Dr Apt 210
- Fresno, CA
- Zip : 93720-0636
- Phone : (604) 619-2209
Second Address
- Candace Andrea Haddock
- 9300 Valley Childrens Pl
- Madera, CA
- Zip : 93636-8761
- Fax : (559) 353-7286
- Phone : (559) 353-7290
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | A160473 | CA |
National Provider Identifier
| NPI | 1104380070 |
|---|---|
| Provider Name | Candace Andrea Haddock |
| First Address | Fresno, CA 93720-0636 |
| Second Address | Madera, CA 93636-8761 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2019 |
| Last Update Date | 25/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.