CANDICE BALFOUR
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1194643460- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 267 GRANT ST, BRIDGEPORT, CT, 066102805
- Phone
- (999) 999-9999
Specialties & Taxonomies
Nurse Practitioner
Primary License: CT #17622
All Addresses
MAILING
151 FOREST RD
WEST HAVEN, CT, 065161606