CANDUS NICOLE ANTOLIN MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Child & Adolescent Psychiatry
Provider Information
- NPI Number
1316449820- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 9923A E. JOHNSON ST MADIGAN ANNEX, JBLM, TACOMA, WA, 98498
- Phone
- (253) 968-6485
Specialties & Taxonomies
Psychiatry & Neurology, Child & Adolescent Psychiatry
Primary License: HI #MD-21233
All Addresses
MAILING
9923A E. JOHNSON ST MADIGAN ANNEX, JBLM
TACOMA, WA, 98498