Individual provider · Type 1 NPI
Jermaine Cannon, LMT
Specialist · Wilmington, DE
NPI number
1790396703
Active
Practice location
1 Murphy Rd
Wilmington, DE 19803-3044
Mailing address
24 Nicole Ct
New Castle, DE 19720-3762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT-0003237 (DE) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1790396703
Jermaine Cannon, LMT's National Provider Identifier is 1790396703, issued on Aug 13, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wilmington, DE. The record was last updated on Aug 13, 2020.