Individual
JASON LEE CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1830 WELLS ST STE 101, WAILUKU, HI 96793-2365
(808) 856-4060
(808) 442-9670
Mailing address
1830 WELLS ST STE 101, WAILUKU, HI 96793-2365
(808) 856-4060
(808) 442-9670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-1067-0
HI
Other
Enumeration date
08/10/2021
Last updated
01/19/2022
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