person
Candace Atisha, PA-C
Medical Physician Assistant in Livonia, Michigan
NPI 1407248537

Candace Atisha is a Medical Physician Assistant based in Livonia, MI and is specialized in Medical. Candace Atisha practices in Livonia, MI and has the professional credentials of PA-C. The NPI Number for Candace Atisha is 1407248537 and holds a License No. 5601007299 (Michigan).

The current practice location address for Candace Atisha is 37669 Pembroke Ave, Livonia, MI and can be reached out via phone at 734-793-6500.

Location: 37669 Pembroke Ave, Livonia, MI, 48152-1050
person
Provider Profile Details
NPI Number
1407248537
Provider Name
Candace Atisha
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
37669 Pembroke Ave, Livonia, MI, 48152-1050
Phone Number
734-793-6500
Fax Number
Provider Enumeration Date
02/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
37669 Pembroke Ave
City
State
Zip
48152-1050
Phone Number
734-793-6500
Fax Number
person
Provider Business Mailing Address Details
Address
37669 Pembroke Ave
City
State
Zip
48152-1050
Phone Number
734-793-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601007299 (Michigan)
Definition
Definition to come...
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