Andre Anthony

NPI 1194865980 - Counselor - 101Y00000X

NPI Details
NPI 1194865980
Gender Male
Enumeration Date 02/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
956 E TABOR AVE
FAIRFIELD CA, 94533-4104, US
Phone (707) 422-9345
Fax (707) 422-2910
Business Location
2800 DOVER AVE
APT. G5
FAIRFIELD CA, 94533-1474, US
Phone (707) 688-2120
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
Remove 1194865980 NPI Number
 

According to our database, Andre Anthony NPI is 1194865980, taxonomy code is 101Y00000X Andre Anthony physically located at 956 E Tabor Ave, Fairfield CA, 94533-4104. NPI Number Andre Anthony has the Individual type.

Sponsored links

1194865980 NPI number is provided on an as is basis without warranty of any kind. 1194865980 is maintained by the National Plan & Provider Enumeration System. The contents of Andre Anthony are for informational purposes only.