Individual
SUSAN LEE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1250 E ALMOND AVE, MADERA, CA 93637-5606
(941) 587-0554
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(941) 587-0554
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000612
CA
Other
Enumeration date
03/12/2015
Last updated
11/14/2022
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