Individual
DEIDRE Y CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31839 KINGSWOOD SQUARE, FARMINGTON HILLS, MI 48334
(248) 836-7520
Mailing address
6689 ORCHARD LAKE RD UNIT 142, WEST BLOOMFIELD, MI 48322-3404
(248) 836-7520
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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