Individual
SERINA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2307 N HARRISON ST APT 17, WILMINGTON, DE 19802-3363
(302) 507-7986
Mailing address
2307 N HARRISON ST APT 17, WILMINGTON, DE 19802-3363
(302) 507-7986
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0010925
DE
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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