Individual
DAVID WILLIAM CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1931 GLENDON AVE APT 101, LOS ANGELES, CA 90025-4603
(310) 570-0979
Mailing address
1931 GLENDON AVE APT 101, LOS ANGELES, CA 90025-4603
(310) 570-0979
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86066466
CA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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