Provider Demographics
NPI:1275201451
Name:CANO, MONICA (BA)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CANO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:972 NANTUCKET BLVD APT 202
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-4667
Mailing Address - Country:US
Mailing Address - Phone:831-272-1577
Mailing Address - Fax:
Practice Address - Street 1:1929 OXFORD CT
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-2184
Practice Address - Country:US
Practice Address - Phone:831-771-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator