Individual provider · Type 1 NPI

Mary Candelaria, LVN

Licensed Practical Nurse · Fresno, CA

NPI number 1093170649 Active

Practice location

4411 E Kings Canyon
Fresno, CA 93702

Mailing address

4411 E Kings Canyon Rd
Fresno, CA 93702

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X288041 (CA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1093170649

Mary Candelaria, LVN's National Provider Identifier is 1093170649, issued on Dec 28, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fresno, CA. The record was last updated on Dec 28, 2015.