NPI 1053073197

Candice N Stocke

Practitioner Attendant Care Provider Carmi, IL

Practice location

Address: 1507 Roser Dr, Carmi, IL 62821-2229
Phone: (618) 384-9969
Mailing address: 404 4th St, Carmi, IL 62821-1235

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1053073197
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2021
Record last updated: 6 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.