Individual
MRS. KENDRA CHANNEL CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1704 54TH STREET CT W, BRADENTON, FL 34209-5044
(941) 920-9177
Mailing address
1704 54TH STREET CT W, BRADENTON, FL 34209-5044
(941) 920-9177
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9533883
FL
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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