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Individual

ALISHA MICHELLE CANNON ARENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1901 MANHATTAN BLVD STE 202, HARVEY, LA 70058-3582
(504) 912-5360
Mailing address
106 VERNON ST, BELLE CHASSE, LA 70037-2427
(337) 321-2066

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213838
LA

Other

Enumeration date
09/14/2020
Last updated
09/14/2020
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