Alfredo Antillon Valid NPI

Individual provider · Developmentally Disabled Services Day Training Agency · Green River, WY

NPI

1538366505

Type

Individual (Type 1)

Primary specialty

Developmentally Disabled Services Day Training Agency (Day Training, Developmentally Disabled Services)

Specialty group

Agencies

Taxonomy code

251C00000X

Sex

Male

Sole proprietor

Yes

Enumerated

2007-07-02

Last updated

2007-07-08