Individual
MS. JUDY FAYE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8640 SW 205TH CIR, DUNNELLON, FL 34431-5332
(352) 322-1213
(352) 522-8182
Mailing address
8640 SW 205TH CIR, DUNNELLON, FL 34431-5332
(352) 322-1213
(352) 522-8182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3168642
FL
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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