Individual
MARY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29686 MILLSTREAM DR, SALISBURY, MD 21804-2002
(443) 614-6964
Mailing address
29686 MILLSTREAM DR, SALISBURY, MD 21804-2002
(443) 614-6964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R112935
MD
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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