# SANDRA D. CANADAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609322577
- **Authorized official:** MRS. SANDRA CANADAY ARNP (ADULT NURSE PRACTITIONER)
- **Authorized official phone:** (310) 402-8266

## Contact information

- **Practice address:** 4909 108TH ST SW, LAKEWOOD, WA 98499-3724
- **Practice address phone:** (253) 581-3075
- **Mailing address:** PO BOX 98886, LAKEWOOD, WA 98496-8886
- **Mailing address phone:** (253) 581-3075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | AP60181508 | WA | Yes |

## Other

- **Enumeration date:** 08/30/2016
- **Last updated:** 10/07/2016