Provider Demographics
NPI:1790580462
Name:LONARDO, CANDICE D (BCDNMA, BCAC, HHP,)
Entity type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:D
Last Name:LONARDO
Suffix:
Gender:
Credentials:BCDNMA, BCAC, HHP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 WINDY HILL DR STE A
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5278
Mailing Address - Country:US
Mailing Address - Phone:984-326-5300
Mailing Address - Fax:
Practice Address - Street 1:4940 WINDY HILL DR STE A
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5278
Practice Address - Country:US
Practice Address - Phone:984-326-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath