CANDACE FOWLKES

TROY, MI
NPI1568816213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704323451)
Enumeration Date2016-04-19
Last Update Date2023-03-17
Business Address
CANDACE FOWLKES
880 W LONG LAKE RD
TROY, MI 48098-4504
Phone number: 866-449-6828
Mailing Address
CANDACE FOWLKES
700 STEWART RD
MONROE, MI 48162-5304
Phone number: 313-629-5759
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