Individual
RODNEKIA S CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1591 LANE AVE S, SUITE 29W, JACKSONVILLE, FL 32210
(904) 802-4378
Mailing address
1591 LANE AVE S, SUITE 29W, JACKSONVILLE, FL 32210
(904) 802-4378
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CNA412376
FL
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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