Individual
JEROLD CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
801 N STILSON RD, BOISE, ID 83703
(208) 344-7799
(208) 344-7152
Mailing address
801 N STILSON RD, BOISE, ID 83703
(208) 344-7799
(208) 344-7152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP158
ID
Other
Enumeration date
06/08/2006
Last updated
07/09/2007
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