Provider Demographics
NPI:1427831387
Name:DOZIER, CANDICE MARIE
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:MARIE
Last Name:DOZIER
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 1:4264 BENNING RD NE APT 103
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4551
Mailing Address - Country:US
Mailing Address - Phone:202-390-9355
Mailing Address - Fax:
Practice Address - Street 1:4264 BENNING RD NE APT 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4551
Practice Address - Country:US
Practice Address - Phone:202-390-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant