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Individual

DR. MICHELE MCCANN CANNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
32107 LINDERO CANYON RD, SUITE 114, WESTLAKE VILLAGE, CA 91361-4222
(818) 991-6482
(818) 991-4635
Mailing address
32107 LINDERO CANYON RD, SUITE 114, WESTLAKE VILLAGE, CA 91361-4222
(818) 991-6482
(818) 991-4635

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
G38032
CA

Other

Enumeration date
04/03/2007
Last updated
07/08/2007
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