Individual
MARK TIBOR KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1612 REEF VIEW CIR, CORONA DEL MAR, CA 92625-1245
(949) 751-7145
Mailing address
1612 REEF VIEW CIR, CORONA DEL MAR, CA 92625-1245
(949) 751-7145
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
807462
CA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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