Individual
SANDRA LEE CANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 GEORGE B LAKE PKWY, ELKHORN, NE 68022-6483
(402) 715-8621
Mailing address
5300 GEORGE B LAKE PKWY, ELKHORN, NE 68022-6483
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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