NPI 1982370425

Tammy Cannon

Practitioner Driver Fairbanks, AK

Practice location

Address: 202 Craig Ave, Fairbanks, AK 99701-3657
Phone: (907) 799-6900

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 7553125 (AK)

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Registry record

NPI: 1982370425
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2021
Record last updated: 16 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.