Individual
MRS. JUDITH ANN CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1638 CLIFF DR, EDGEWATER, MD 21037-4924
(410) 798-5885
Mailing address
1638 CLIFF DR, EDGEWATER, MD 21037-4924
(410) 798-5885
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
Primary
R119975
MD
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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