ERICIA LATRICE CANNON

JACKSON, MS
NPI1013473891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  903107)
Enumeration Date2019-02-16
Last Update Date2019-03-07
Business Address
ERICIA LATRICE CANNON Nurse Practitoner
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
Mailing Address
ERICIA LATRICE CANNON Nurse Practitoner
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
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