Carissa Cannon
Carissa Cannon is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
11601 S Western AveLos Angeles, CA 90047-5006
Phone: (323) 242-5000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1609509454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 7, 2022 |
| Last updated in NPPES | October 16, 2025 |
| Certification date | October 16, 2025 |
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