Individual
MS. LILLIAN MAE CANNADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANCE
Contact information
Practice address
7151 LINCOLN AVE, F, BUENA PARK, CA 90620-4613
(714) 761-4831
(714) 761-4833
Mailing address
7151 LINCOLN AVE, F, BUENA PARK, CA 90620-4613
(714) 761-4831
(714) 761-4833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45281
CA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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