# MS. DOROTHY CANNON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194961284
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | TX | — |
| 171WV0202X | Vehicle Modifications Contractor | — | TX | — |
| 172A00000X | Driver | — | TX | — |
| 172V00000X | Community Health Worker | — | TX | — |
| 253Z00000X | In Home Supportive Care Agency | — | TX | Yes |
| 347C00000X | Private Vehicle | 24603614 | TX | — |

## Other

- **Enumeration date:** 12/19/2008
- **Last updated:** 10/25/2013