Individual
KANIKA SHANTA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 W AVENUE K STE 105, LANCASTER, CA 93534-6422
(213) 264-8655
Mailing address
9849 SALLY AVE, CALIFORNIA CITY, CA 93505-1346
(213) 264-8655
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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