Individual
DANIELLE LYNN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
720 YORKLYN RD, HOCKESSIN, DE 19707-8728
(302) 234-2288
Mailing address
27 KENMAR DR, NEWARK, DE 19713-2429
(302) 388-4051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0004327
DE
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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