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NPI Code Detail

MEDICARE: MISS CANDACE GABRIELLE PATTON CNA

MEDICARE:  MISS CANDACE GABRIELLE PATTON  CNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's AideMI12312023811834MI

General Provider Information

NPI Number : 1033988035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CANDACE GABRIELLE PATTON CNA
Provider Business Mailing Address
First Line : 17610 STEEL ST
Second Line :
City : DETROIT
State : MI
Zip : 48235-1446
Country : US
Telephone Number : 131-346-3873
Fax Number :
Provider Business Practice Location Address
First Line : 17610 STEEL ST
Second Line :
City : DETROIT
State : MI
Zip : 48235-1446
Country : US
Telephone Number : 313-346-3873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2024
Last Update Date : 01/01/2024

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Directions to “ MISS CANDACE GABRIELLE PATTON CNA” Practice Location

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