Most Relevant Information
Provider Data
| NPI Number: | 1003554585 |
| Provider Name: | KANDICE DRAAYER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0809X |
| Specialty: | Registered Nurse |
| License Number: | 201902565RN |
Most Important Dates
| Enumeration Date: | 05/24/2022 |
| Last Updated: | 05/24/2022 |
Provider Practice Location
8495 CRATER LAKE HWY
WHITE CITY
OR
975033011
Practice Location Phone/Fax
| Phone: | 5418262111 |
| Fax: |
Provider Mailing Location
8495 CRATER LAKE HWY
WHITE CITY
OR
975033011
Provider Mailing Phone/Fax
| Phone: | 5418262111 |
| Fax: |