Individual
JEANNA S CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20571 ELLACOTT PARKWAY, SUITE 633, WARRENSVILLE HTS, OH 44128
(216) 816-4464
Mailing address
20571 ELLACOTT PARKWAY, SUITE 633, WARRENSVILLE HTS, OH 44128
(216) 816-4464
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
OH
Enumeration date
05/21/2019
Last updated
05/21/2019
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