Individual
ANDREA CANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 SHERWOOD DR, SAINT JOSEPH, IL 61873-9468
(217) 979-3055
Mailing address
508 SHERWOOD DR, SAINT JOSEPH, IL 61873-9468
(217) 979-3055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/22/2019
Last updated
05/28/2021
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