Healthcare Provider Details

I. General information

NPI: 1578045662
Provider Name (Legal Business Name): CANDACE UNIQUE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 EUCALYPTUS DR
BAKERSFIELD CA
93306-6075
US

IV. Provider business mailing address

PO BOX 80041
BAKERSFIELD CA
93380-0041
US

V. Phone/Fax

Practice location:
  • Phone: 661-363-5947
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: