Individual
DANIEL CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 WESTLAND RD UNIT C, CHEYENNE, WY 82001-3309
(307) 630-0873
Mailing address
1913 APPALOOSA DR, CHEYENNE, WY 82001-6496
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/09/2017
Last updated
08/11/2017
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