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Search › California › 175T00000X

Derrick Cannon

NPI 1063057149 · on the registry since 2019 · sole proprietor

Practice

Address
820 E Gilbert St
San Bernardino, CA 92415
Phone
(909) 388-5644
Organisation at this address
County Of San Bernardino
Department Of Behavioral Health, San Bernardino County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
175T00000X
175T00000X
Sex
Male
Record last updated
2019-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California