Individual
REBECCA GRACE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN
Contact information
Practice address
1900 SAMFORD TRACE CT APT 1431, AUBURN, AL 36830-6535
(256) 655-7638
Mailing address
1900 SAMFORD TRACE CT APT 1431, AUBURN, AL 36830-6535
(256) 655-7638
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86419942
AL
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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