Individual
LAUREL CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 GARDEN VIEW DR NE, ATLANTA, GA 30319-5825
(651) 802-8169
Mailing address
6 FERGUSON WAY, ELLINGTON, CT 06029-3004
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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