Individual
JEFFREY ISAAC CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP-BC
Contact information
Practice address
6801 PARK TER STE 525, LOS ANGELES, CA 90045-1542
(310) 590-7435
Mailing address
228 W POMONA AVE UNIT 452, MONROVIA, CA 91016-4853
(405) 596-2850
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027653
CA
Other
Enumeration date
10/16/2023
Last updated
09/20/2024
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