Individual
AKIVIA DANMIKA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4020 LAKE WORTH RD, LAKE WORTH, FL 33461-3918
(855) 859-8810
Mailing address
8024 BIG PINE WAY, RIVIERA BEACH, FL 33407-1136
(561) 255-6152
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
9361696
FL
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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