| NPI | 1194961284 |
|---|---|
| Other Name | DOROTHY CANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 171W00000X Contractor |
| 171WV0202X Contractor, Vehicle Modifications | |
| 172A00000X Driver | |
| 172V00000X Community Health Worker | |
| 347C00000X Private Vehicle (Licence: TX 24603614) | |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2013-10-25 |