Individual
DANIELLE SHEREE' CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20446 CAMP RD, BRIDGEVILLE, DE 19933-4621
(302) 396-5397
Mailing address
17 CHURCH ST, BRIDGEVILLE, DE 19933-1010
(302) 604-9479
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
PASA-088
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PASA-088
PERSONAL ASSISTANCE SERVICE AGENCY
DE
Enumeration date
01/09/2023
Last updated
01/09/2023
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