Individual
CARI CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1819 CENTRE ST, WEST ROXBURY, MA 02132-1945
(617) 323-0200
Mailing address
1819 CENTRE ST, WEST ROXBURY, MA 02132-1945
(617) 323-0200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4408
MA
Other
Enumeration date
08/23/2006
Last updated
08/01/2007
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