Sandra Lee Canick

NPI #1063234177 in Elkhorn, Nebraska

Provider Information

NPI Number: 1063234177
Entity Type: Individual
Name: Sandra Lee Canick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse's Aide
Enumeration Date: Oct 29, 2024
Last Updated: Oct 29, 2024

Practice Location

Address: 5300 GEORGE B LAKE PKWY
City: Elkhorn
State: Nebraska
ZIP Code: 68022-6483
Phone: (402) 715-8621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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