Individual
CHRISTINE CONNOLLY CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM-BC, WHNP-BC, RN
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5000
Mailing address
1940 OBERLIN AVE, THOUSAND OAKS, CA 91360-2048
(805) 558-1481
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
236268
CA
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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