Maria Antillon

NPI #1215131420 in Green River, Wyoming

Provider Information

NPI Number: 1215131420
Entity Type: Individual
Name: Maria Antillon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Jun 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 720 WIND RIVER DR
Address 2: B
City: Green River
State: Wyoming
ZIP Code: 82935-5725
Phone: (307) 875-5781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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