Individual
ELLEN KANTOR JEAN-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-2555
Mailing address
55 LINCOLN ST, MEDFORD, MA 02155-6745
(339) 368-0360
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
164961
MA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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