Individual
AMY ELIZABETH CANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8660
Mailing address
744 W PELTIER RD, LODI, CA 95242-9609
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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