Individual
MRS. DANA LOUISE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 CANTER CLUB COURT, DEBARY, FL 32713
(386) 668-5999
Mailing address
17 CANTER CLUB COURT, DEBARY, FL 32713
(386) 668-5999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA20613
FL
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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