Jason Lee Cantor, PHYSICIAN ASSISTANT

NPI #1932874120 in Wailuku, Hawaii

Provider Information

NPI Number: 1932874120
Entity Type: Individual
Name: Jason Lee Cantor, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Aug 10, 2021
Last Updated: Jan 19, 2022

Practice Location

Address: 1830 WELLS ST STE 101
City: Wailuku
State: Hawaii
ZIP Code: 96793-2365
Phone: (808) 856-4060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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