Individual
TIKARA SHAUNEICE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBS, IBCLC
Contact information
Practice address
2025 WOODBROOK CT, CHARLOTTESVILLE, VA 22901-1148
(434) 218-0593
Mailing address
162 RICHARDS CT, RUCKERSVILLE, VA 22968-3709
(434) 218-0593
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
VA
374J00000X
Doula
—
—
Other
Enumeration date
03/02/2022
Last updated
08/07/2024
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