Most Relevant Information
Provider Data
| NPI Number: | 1003442591 |
| Provider Name: | CANDICE MARIE PALMISANO CNS |
| Entity Type: | Individual |
| Taxonomy Code: | 364S00000X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 4734 |
Most Important Dates
| Enumeration Date: | 03/17/2020 |
| Last Updated: | 03/17/2020 |
Provider Practice Location
2051 MARENGO ST
LOS ANGELES
CA
900331352
Practice Location Phone/Fax
| Phone: | 3234098559 |
| Fax: |
Provider Mailing Location
1319 CARROLL AVE
LOS ANGELES
CA
900265109
Provider Mailing Phone/Fax
| Phone: | 3234286210 |
| Fax: |