Gabriel Earnest Cannon Valid NPI
Individual provider · Community Health Worker · San Bernardino, CA
- NPI
- 1902791379
- Type
- Individual (Type 1)
- Primary specialty
- Community Health Worker
- Specialty group
- Other Service Providers
- Taxonomy code
- 172V00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2025-06-09
- Last updated
- 2025-06-09
Practice location
696 S Tippecanoe Ave
San Bernardino, CA 92408-2607
(909) 723-1695