Individual
VICTORIA CANNON D'AQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20474 OLD SCENIC HWY, ZACHARY, LA 70791-7365
(225) 654-1124
(225) 654-7079
Mailing address
1305 VINTAGE DR, KENNER, LA 70065-2045
(504) 344-4690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
03/31/2026
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