Individual
DAVID CANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BEAR RIVER DR, EVANSTON, WY 82930-2804
(307) 789-0664
Mailing address
PO BOX 1652, EVANSTON, WY 82931-1652
(307) 789-0664
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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