Suzanne R. Cannon, LVN II
Licensed Vocational Nurse in Hemet, CA. Individual provider (NPI-1).
NPI number1356533376
StatusActive
Last updated in NPPESAug 14, 2007
Details
- NPI
- 1356533376
- Entity type
- Individual (NPI-1)
- Name
- Suzanne R. Cannon
- Credential
- LVN II
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 14, 2007
- Last updated
- Aug 14, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | VN213474 | CA | Yes |
Practice location
2100 S State StHemet, CA 92543
Phone 951-929-1968 · Fax 951-925-5172
Mailing address
Po Box 3868Hemet, CA 92546-3868
Phone 951-929-1968 · Fax 951-925-5172
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