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NPI Code Detail

MEDICARE: CANDICE VICTORIA WEDDING

MEDICARE: CANDICE VICTORIA WEDDING
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
1171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1326926676
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE VICTORIA WEDDING
Provider Business Mailing Address
First Line : 950 W D ST
Second Line :
City : ONTARIO
State : CA
Zip : 91762-3026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1140 N CORONA AVE
Second Line :
City : ONTARIO
State : CA
Zip : 91764-2626
Country : US
Telephone Number : 909-984-6411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2025
Last Update Date : 08/25/2025

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Directions to “ CANDICE VICTORIA WEDDING ” Practice Location

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