| NPI | 1255724423 |
|---|---|
| Professional Name | DANA CANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: NC C92801) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: SC 32293) |
| 224P00000X Prosthetist (Licence: GA C0120769) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |