CANDACE REYNOLDS GRANTHAM

DOTHAN, AL
NPI1366774895
Former NameCANDACE MICHELLE REYNOLDS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1102842)
Enumeration Date2010-02-09
Last Update Date2012-10-22
Business Address
-- CANDACE REYNOLDS GRANTHAM CRNA
1108 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-793-5105
Mailing Address
-- CANDACE REYNOLDS GRANTHAM CRNA
1118 ROSS CLARK CIRCLE SUITE 700
DOTHAN, AL 36302-3030
Phone number: 334-793-5105