Individual
MRS. CONNIE L. CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
5340 WIGWAM CREEK ROAD, LITCHFIELD PARK, AZ 85340-4428
(623) 547-1418
(623) 535-4417
Mailing address
5340 WIGWAM CREEK BLVD., LITCHFIELD PARK, AZ 85340-4248
(623) 547-1418
(623) 535-4417
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
223664
AZ
Other
Enumeration date
02/12/2009
Last updated
11/05/2024
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