Individual
JEFFREY D CANONOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, PMHRN-BC, RN
Contact information
Practice address
150 UCLA MEDICAL PLZ, LOS ANGELES, CA 90024-8313
(310) 267-7418
Mailing address
15735 NORDHOFF ST UNIT 22, NORTH HILLS, CA 91343-3155
(909) 231-3182
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95029468
CA
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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