Individual
DANA MARIE CANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32512 N 225TH DR, WITTMANN, AZ 85361-4550
(845) 216-5299
Mailing address
PO BOX 147, WITTMANN, AZ 85361-0147
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-301074
NY
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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