Individual
BRYAN A. CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
67 MINARD RUN RD, BRADFORD, PA 16701
(607) 227-9002
Mailing address
67 MINARD RUN RD, BRADFORD, PA 16701
(607) 227-9002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN744355
PA
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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