KANDACE LYN ELLER

SAN DIEGO, CA
NPI1306271069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IN  28086571A)
Enumeration Date2013-09-12
Last Update Date2013-09-12
Business Address
-- KANDACE LYN ELLER GNP-BC
4715 VIEWRIDGE AVE
SAN DIEGO, CA 92123-1658
Phone number: 800-257-8715
Mailing Address
-- KANDACE LYN ELLER GNP-BC
1404 FAIRFAX DR
LAFAYETTE, IN 47909-3717
Phone number: 765-430-0245
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