Individual
MISS CHRISTINA LEE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
101 S SYCAMORE AVE APT 2, LOS ANGELES, CA 90036-2984
(323) 317-6360
Mailing address
101 S SYCAMORE AVE APT 2, LOS ANGELES, CA 90036-2984
(323) 317-6360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17776
CA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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