Provider Demographics
NPI:1053515668
Name:CINTRON, CANDIE (ASSOCIATES)
Entity type:Individual
Prefix:MISS
First Name:CANDIE
Middle Name:
Last Name:CINTRON
Suffix:
Gender:F
Credentials:ASSOCIATES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 847
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28574-0847
Mailing Address - Country:US
Mailing Address - Phone:910-545-7446
Mailing Address - Fax:
Practice Address - Street 1:358 POTTERS HILL RD
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28574-6321
Practice Address - Country:US
Practice Address - Phone:910-545-7446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5770171W00000X
FL7525171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor