Individual
ANTHONY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10319 OLD HAMMOND HWY STE B1, BATON ROUGE, LA 70816-8288
(225) 367-1646
Mailing address
10319 OLD HAMMOND HWY STE B1, BATON ROUGE, LA 70816-8288
(225) 367-1646
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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