Porscha Cannon
Porscha Cannon is a Rehabilitation Practitioner in San Dimas, California. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
762 Cypress StSan Dimas, CA 91773-3505
Phone: (909) 599-1227
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1538452032 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 17, 2011 |
| Last updated in NPPES | May 9, 2013 |
| Mailing address | 762 Cypress St, San Dimas, CA 91773-3505 |
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Mr. Derek James Augarten
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Stephanie Desselle
762 Cypress St, San Dimas, CA 91773-3505 · (909) 599-1227
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Kathleen Dominguez
180 Via Verde Ste 200, San Dimas, CA 91773-3993 · (909) 599-1227