Individual
MRS. HOLLY JO CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
30 S. 20TH AVE, UNIT F/G, BRIGHTON, CO 80601
(303) 659-2335
(303) 659-6090
Mailing address
30 S. 20TH AVE, UNIT F/G, BRIGHTON, CO 80601
(303) 659-2335
(303) 659-6090
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-12226
CO
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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