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Individual

MS. MICHELE ANITA CANTRELL

Active
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Individual

MS. MICHELE ANITA CANTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200440425RN
OR
163WW0000X
Wound Care Registered Nurse
567223
CA
363L00000X
Nurse Practitioner
Primary
21433
CA

Other

Enumeration date
04/10/2010
Last updated
11/18/2022
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