Provider First Line Business Practice Location Address:
CANDOR CARE, PLLC
Provider Second Line Business Practice Location Address:
364 PATTESON DR. #505
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-316-6981
Provider Business Practice Location Address Fax Number:
304-820-0805
Provider Enumeration Date:
08/22/2005