Individual
MRS. LANEICE R CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2618 VIA VERONA, LANCASTER, CA 93535-2852
(661) 575-4986
Mailing address
2618 VIA VERONA, LANCASTER, CA 93535-2852
(661) 575-4986
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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