Individual
AMY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 682-3140
Mailing address
3501 LAGUNA ST APT 305, SAN FRANCISCO, CA 94123-7211
(269) 783-5269
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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