person
Dericka Canada
Student in an Organized Health Care Education/Training Program in Louisville, Kentucky
NPI 1104120781

Dericka Canada is a Student in an Organized Health Care Education/Training Program based in Louisville, KY. Dericka Canada practices in Louisville, KY. The NPI Number for Dericka Canada is 1104120781 and holds a License No. (Kentucky).

The current practice location address for Dericka Canada is 914 E Broadway, Louisville, KY and can be reached out via phone at 502-589-8600 and via fax at 502-589-8771.

Location: 914 E Broadway, Louisville, KY, 40202-1423
person
Provider Profile Details
NPI Number
1104120781
Provider Name
Dericka Canada
Credential
Provider Entity Type
Individual
Gender
Female
Address
914 E Broadway, Louisville, KY, 40202-1423
Phone Number
502-589-8600
Fax Number
502-589-8771
Provider Enumeration Date
12/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
914 E Broadway
City
State
Zip
40204-1037
Phone Number
502-589-8600
Fax Number
502-589-8771
person
Provider Business Mailing Address Details
Address
914 E Broadway
City
State
Zip
40204-1037
Phone Number
502-589-8600
Fax Number
502-589-8771
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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