Individual
DELIA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1522 LOCUST ST FL 2, PHILADELPHIA, PA 19102-4445
(215) 234-7957
Mailing address
306 SEARS ST, PHILADELPHIA, PA 19147-5914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021367
PA
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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