Individual
DR. JORDAN BRIANNE CANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-8969
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3807
CA
Other
Enumeration date
08/29/2023
Last updated
12/30/2023
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