CANDACE MERITA FORTUNE

FOLSOM, CA
NPI1447360482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: CA  A69812)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A69812)
Enumeration Date2006-08-30
Last Update Date2010-10-14
Business Address
-- CANDACE MERITA FORTUNE MD
785 ORCHARD DR SUITE 100
FOLSOM, CA 95630-5557
Phone number: 916-984-4300
Mailing Address
-- CANDACE MERITA FORTUNE MD
5480 SUR MER DR
EL DORADO HILLS, CA 95762-7653
Phone number: 707-235-9928