Provider Demographics
NPI:1871729541
Name:GEE, KANDACE MARIE (BS, DC)
Entity type:Individual
Prefix:DR
First Name:KANDACE
Middle Name:MARIE
Last Name:GEE
Suffix:
Gender:F
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31915 RANCHO CALIFORNIA RD
Mailing Address - Street 2:SUITE 200-266
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-2998
Mailing Address - Country:US
Mailing Address - Phone:951-588-4214
Mailing Address - Fax:
Practice Address - Street 1:1850 DAVIS DR
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-1812
Practice Address - Country:US
Practice Address - Phone:951-588-4214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 30418111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor