Provider Demographics
NPI:1073139275
Name:SILVEIRA-CARPENTER, CANDICE (MA)
Entity Type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:SILVEIRA-CARPENTER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:
Other - Last Name:SILVEIRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:3351 HOLLY OAK LN
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-6517
Mailing Address - Country:US
Mailing Address - Phone:760-402-0782
Mailing Address - Fax:
Practice Address - Street 1:3301 E 12TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-3424
Practice Address - Country:US
Practice Address - Phone:510-269-9030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program