Individual
ADRIA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., I.B.C.L.C
Contact information
Practice address
120 PAOLI ST, VERONA, WI 53593-1323
(608) 845-7269
Mailing address
4914 TOKAY BLVD, MADISON, WI 53711-1227
(608) 278-8879
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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