MEDICARE: CANN INVESTMENTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100917983-001	OTHER	NV	DEPARTMENT OF TAXATION -NEVADA

General Provider Information

NPI Number	:	1588982540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANN INVESTMENTS LLC

Provider Business Mailing Address
First Line	:	2550 S RAINBOW BLVD
Second Line	:	SUITE E-26
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5175
Country	:	US
Telephone Number	:	702-856-6032
Fax Number	:	702-648-5757

Provider Business Practice Location Address
First Line	:	2550 S RAINBOW BLVD
Second Line	:	SUITE E-26
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5175
Country	:	US
Telephone Number	:	702-856-6032
Fax Number	:	702-648-5757

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CHRISTIANAH SUTTON
Credential	:
Telephone Number	:	702-856-6032

Provider Enumeration Date	:	05/13/2010
Last Update Date	:	05/13/2010

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Directions to “CANN INVESTMENTS LLC ” Practice Location

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