Provider Demographics
NPI:1255202396
Name:LANG, CANDACE (BH WORKER I)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:LANG
Suffix:
Gender:F
Credentials:BH WORKER I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 NORD AVE APT 21
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-4101
Mailing Address - Country:US
Mailing Address - Phone:530-514-6051
Mailing Address - Fax:
Practice Address - Street 1:560 COHASSET RD STE 120
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2281
Practice Address - Country:US
Practice Address - Phone:530-891-2810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion