Individual
LAURA FAYE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
1931 GLENDON AVE APT 101, LOS ANGELES, CA 90025-4603
(310) 904-3700
Mailing address
1931 GLENDON AVE APT 101, LOS ANGELES, CA 90025-4603
(310) 904-3700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86276215
CA
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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