Individual
ALICE CANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2915 TELEGRAPH AVE STE 200, BERKELEY, CA 94705-2030
(510) 845-8047
(510) 845-8035
Mailing address
10470 OLD PLACERVILLE RD, SACRAMENTO, CA 95827-2528
(916) 854-6666
(916) 854-6864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6879
CA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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