Individual
MAKHIAH CANNON PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 W CLARKE AVE STE 1050, MILFORD, DE 19963-1857
(302) 503-7650
Mailing address
646 COLDWATER DR, CLAYTON, DE 19938-3906
(302) 244-2960
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
DE
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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