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NPI Code Detail

MEDICARE: KANDICE VARELA

MEDICARE: KANDICE VARELA
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
1247200000XOther Technician

General Provider Information

NPI Number : 1104357243
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANDICE VARELA
Provider Business Mailing Address
First Line : 2645 NALL ST
Second Line :
City : PORT NECHES
State : TX
Zip : 77651-4707
Country : US
Telephone Number : 409-210-3336
Fax Number :
Provider Business Practice Location Address
First Line : 2645 NALL ST
Second Line :
City : PORT NECHES
State : TX
Zip : 77651-4707
Country : US
Telephone Number : 409-210-3336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 03/21/2017

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Directions to “ KANDICE VARELA ” Practice Location

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