Dericka Canada is a student in an organized health care education training program in Louisville, KY. The provider is 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. Dericka Canada NPI is 1104120781. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
914 E BROADWAY
LOUISVILLE, KY
ZIP 40204-037
Phone: (502) 589-8600
Fax: (502) 589-8771
The enumeration date for this NPI number is 12/22/2010 and was last updated on 12/22/2010.