Organization
PARIS KANTAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PARIS JON KANTAS FNP (FAMILY NURSE PRACTITIONER)
(619) 889-8900
Entity
Organization
Contact information
Practice address
689 REDLANDS PL, BONITA, CA 91902-4017
(619) 889-8900
Mailing address
689 REDLANDS PL, BONITA, CA 91902-4017
(619) 889-8900
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
18661
CA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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