Individual
JUSTIN CANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, MSN, RN
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-4802
Mailing address
4633 LAWLER CT, LA MESA, CA 91941-5625
(858) 401-3279
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015698
CA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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