Individual
DAVID MICHAEL CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2434 S 7TH ST, IRONTON, OH 45638-2627
(740) 532-2706
Mailing address
317 ASHTABULA ST APT 2, IRONTON, OH 45638-2818
(740) 532-6713
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/25/2020
Last updated
10/26/2020
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