Individual
CORINNE KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTR, CLT
Contact information
Practice address
55 PASEO PRIMERO, RANCHO SANTA MARGARITA, CA 92688-3361
(949) 888-1793
Mailing address
27758 SANTA MARGARITA PKWY STE 410, MISSION VIEJO, CA 92691-6709
(949) 888-1793
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
01/12/2019
Last updated
01/12/2019
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