Female

Candace L. Cannon

Developmental Therapist in Plant City, FL(View on Map)

Full Name

Candace Lynn Cannon

NPI Number

1396388328

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/22/2019

Specialties

(Taxonomies)

Code

222Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3315 CLEMONS RD
3315 CLEMONS RD

City

Plant City
Plant City

State

FL
FL

Postal Code

33566-4647
33566-4647

Country

US
US

Telephone Number

(813) 625-3143
(813) 625-3143

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/22/2019

Provider Address

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