Individual
TAQUANTA SHANETTE CANNADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1114 S DUPONT HWY, DOVER, DE 19901-4401
(302) 522-4883
Mailing address
1114 S DUPONT HWY, DOVER, DE 19901-4401
(302) 672-9360
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0013125
DE
Other
Enumeration date
10/28/2014
Last updated
08/30/2022
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