Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHR.0007680 | CO |
NPI | 1003329681 |
---|---|
Provider Name | Dr. Candace Williams |
First Address | Conifer, CO 80433-7723 |
Second Address | Conifer, CO 80433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2017 |
Last Update Date | 09/01/2019 |