Individual
MR. THOMAS JOSEPH CANTWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
PT22730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 22730
BOARD OF VOCATIONAL NURSES AND PSYCHIATRIC TECHNICIANS
CA
Enumeration date
03/03/2011
Last updated
03/03/2011
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