Individual
TALITHA J. CANAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 749-4300
(916) 734-2975
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
637268 RN
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
637268
RN LICENSE
CA
Enumeration date
02/14/2008
Last updated
12/30/2021
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