CANDICE LYNNE VITALE

CLINTON TWP, MI
NPI1386083046
Former NameCANDICE NICHOLS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704277903)
Enumeration Date2013-06-17
Last Update Date2018-05-03
Business Address
CANDICE LYNNE VITALE NP
43475 DALCOMA DRIVE STE 150
CLINTON TWP, MI 48038
Phone number: 877-784-3667
Mailing Address
CANDICE LYNNE VITALE NP
29275 NORTHWESTERN HWY STE 100
SOUTHFIELD, MI 48034
Phone number: 877-784-3667
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