MALLISA CANNON

NOVI, MI
NPI1497180657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703111681)
Enumeration Date2013-09-06
Last Update Date2013-09-06
Business Address
-- MALLISA CANNON
41621 W 11 MILE RD
NOVI, MI 48375-1804
Phone number: 248-299-0030
Mailing Address
-- MALLISA CANNON
5051 BUCKINGHAM AVE
DETROIT, MI 48224-3250
Phone number:
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