Brian Antonio
NPI #1700123965 in Grants, New Mexico
Provider Information
- NPI Number
- 1700123965
- Entity Type
- Individual
- Name
- Brian Antonio
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jan 8, 2013
- Last Updated
- Jan 8, 2013
Practice Location
- Address
- 700 E ROOSEVELT AVE
- Address 2
- SUITE 18
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-2220
- Phone
- (505) 876-1890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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