Individual
MR. DAVID LEE CANNON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-5600
Mailing address
5236 HERON RD, CAMBRIDGE, MD 21613-3572
(443) 521-6325
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
02/04/2023
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