Organization
SANDRA D. CANADAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA CANADAY ARNP (ADULT NURSE PRACTITIONER)
(310) 402-8266
Entity
Organization
Contact information
Practice address
4909 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 581-3075
Mailing address
PO BOX 98886, LAKEWOOD, WA 98496-8886
(253) 581-3075
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60181508
WA
Other
Enumeration date
08/30/2016
Last updated
10/07/2016
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