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Contact Information

CANDUS N ANTOLIN, MD
9923A E. JOHNSON ST
MADIGAN ANNEX, JBLM
TACOMA, WA98498
 Phone: 253-968-6485
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for CANDUS N ANTOLIN · (Female)

NPI Number 1316449820
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2018
Last updated 04/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • HI License # MD-21233
  • Other VAD000 MEDICARE UPIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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