Tammy Cannon

NPI #1982370425 in Fairbanks, Alaska

Provider Information

NPI Number: 1982370425
Entity Type: Individual
Name: Tammy Cannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Aug 16, 2021
Last Updated: Aug 16, 2021

Practice Location

Address: 202 CRAIG AVE
City: Fairbanks
State: Alaska
ZIP Code: 99701-3657
Phone: (907) 799-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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