Tammy Cannon
NPI 1982370425 · on the registry since 2021 · sole proprietor
Practice
- Address
- 202 Craig Ave
Fairbanks, AK 99701 - Phone
- (907) 799-6900
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-16
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 Alaska