MR. Alfredo Antillon
NPI #1538366505 in Green River, Wyoming
Provider Information
- NPI Number
- 1538366505
- Entity Type
- Individual
- Name
- MR. Alfredo Antillon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Jul 2, 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 |
|---|
| Day Training, Developmentally Disabled Services |
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