Most Relevant Information
Provider Data
| NPI Number: | 1003471475 |
| Provider Name: | CANDACE HARSSON |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | L058747 |
Most Important Dates
| Enumeration Date: | 05/01/2019 |
| Last Updated: | 05/01/2019 |
Provider Practice Location
820 NW 95TH ST
SEATTLE
WA
981172207
Practice Location Phone/Fax
| Phone: | 2067820100 |
| Fax: |
Provider Mailing Location
655 S WILLOW ST STE 128
MANCHESTER
NH
031035705
Provider Mailing Phone/Fax
| Phone: | 8009952673 |
| Fax: |