Individual
IDA JOYCE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10201 W 7 MILE RD, DETROIT, MI 48221-1903
(313) 340-2224
Mailing address
767 JAMESTOWN RD, AUBURN HILLS, MI 48326-3418
(313) 340-2224
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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