Individual
KATRINA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
306 TANGLEWOOD DR, VICTORIA, TX 77901-2113
(361) 218-4313
Mailing address
306 TANGLEWOOD DR, VICTORIA, TX 77901-2113
(361) 218-4313
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
147167
TX
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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