Provider Demographics
NPI:1386858348
Name:TURCHIN, CANDICE BETH
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:BETH
Last Name:TURCHIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 S VAN NESS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3214
Mailing Address - Country:US
Mailing Address - Phone:415-596-3093
Mailing Address - Fax:415-647-8911
Practice Address - Street 1:1195 S VAN NESS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3214
Practice Address - Country:US
Practice Address - Phone:415-596-3093
Practice Address - Fax:415-647-8911
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7435171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist