Provider Demographics
NPI:1538426010
Name:CANO, SANDRA MARY (RN, MN)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:MARY
Last Name:CANO
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Gender:F
Credentials:RN, MN
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Mailing Address - Street 1:PO BOX 951703 221 WESTWOOD PLAZA
Mailing Address - Street 2:ARTHUR ASHE STUDENT HEALTH & WELLNESS CENTER
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-1703
Mailing Address - Country:US
Mailing Address - Phone:310-825-4073
Mailing Address - Fax:310-267-1996
Practice Address - Street 1:221 WESTWOOD PLAZA
Practice Address - Street 2:ARTHUR ASHE STUDENT HEALTH & WELLNESS CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-825-4073
Practice Address - Fax:310-267-1996
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
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Provider Licenses
StateLicense IDTaxonomies
CA#330960163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse