Provider Demographics
NPI:1336307511
Name:KANTOR, VALORI JEAN (LVN)
Entity Type:Individual
Prefix:MRS
First Name:VALORI
Middle Name:JEAN
Last Name:KANTOR
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2726 E PONTIAC WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-4928
Mailing Address - Country:US
Mailing Address - Phone:559-221-1461
Mailing Address - Fax:
Practice Address - Street 1:2726 E PONTIAC WAY
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4928
Practice Address - Country:US
Practice Address - Phone:559-221-1461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-24
Last Update Date:2008-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN110290164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse