Individual
RICHARD CANNON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(504) 779-5515
Mailing address
3510 N CAUSEWAY BLVD STE 404, METAIRIE, LA 70002-3531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08107
LA
Other
Enumeration date
11/21/2014
Last updated
11/21/2024
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