Individual
AMANDA BERNADETTE CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 SARNO RD, MELBOURNE, FL 32935-8847
(724) 328-1767
Mailing address
2511 SARNO RD, MELBOURNE, FL 32935-8847
(724) 328-1767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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