Individual
LEJAY CANTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
19531 BEACH BLVD, HUNTINGTON BEACH, CA 92648-2902
(562) 331-5778
Mailing address
13745 FRANCISCO DR, LA MIRADA, CA 90638-6603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49643
CA
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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