Individual
MRS. JACQUELINE KAY CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
805 FARMINGTON AVE, 2ND FL., WEST HARTFORD, CT 06119
(860) 508-0942
Mailing address
805 FARMINGTON AVE, 2ND FLOOR, WEST HARTFORD, CT 06119
(860) 508-0942
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
001910
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004197283
—
CT
Enumeration date
07/18/2006
Last updated
04/04/2012
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