Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 1134 | OH |
NPI | 1801933916 |
---|---|
Provider Name | Dr. Candace Paulette Duty |
First Address | Chesapeake, OH 45619-7015 |
Second Address | Chesapeake, OH 45619-7015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 16/02/2016 |