Individual
MRS. DAYANA ALEXANDRA CANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503
(862) 207-7510
(862) 257-1688
Mailing address
254 FLORAL LN, SADDLE BROOK, NJ 07663-5041
(973) 634-2336
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00318800
NJ
Other
Enumeration date
08/20/2010
Last updated
05/23/2018
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