Individual
MRS. GLORIA CANADAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. I.B.C.L.C
Contact information
Practice address
5564 WENDY LEE DR, TITUSVILLE, FL 32780-7149
(321) 537-5597
Mailing address
5564 WENDY LEE DR, TITUSVILLE, FL 32780-7149
(321) 537-5597
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN1675092
FL
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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