Individual
BECKY ANN CANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
215 NORTH BENTON DR, INDEPENDENT LIFESTYLES INC., SAUK RAPIDS, MN 56379
(320) 529-9000
(320) 529-0747
Mailing address
215 NORTH BENTON DR, INDEPENDENT LIFESTYLES INC, SAUK RAPIDS, MN 56379
(320) 529-9000
(320) 529-0747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R165753-3
MN
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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