Su-San Cannon Spain
Su-San Cannon Spain is an In Home Supportive Care Agency in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
1712 Wurzburg DrFort Worth, TX 76134-3320
Phone: (817) 476-1510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X (TX) |
|---|
Record details
| NPI number | 1790397255 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2020 |
| Last updated in NPPES | August 19, 2020 |
| Certification date | August 19, 2020 |
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