MR. ALFREDO ANTILLON

Day Training, Developmentally Disabled Services

Active Individual
NPI: 1538366505

Practice Address

720 WIND RIVER DR
B
Green River, WY 82935

Phone: (307) 875-5781

Specialties

Specialty Code Primary License
Day Training, Developmentally Disabled Services 251C00000X Yes -

Frequently Asked Questions

NPI 1538366505 is the National Provider Identifier for MR. ALFREDO ANTILLON, a Day Training, Developmentally Disabled Services provider located in Green River, WY. This NPI was enumerated on July 2, 2007.
MR. ALFREDO ANTILLON practices at 720 WIND RIVER DR, B, Green River, WY 82935.

Quick Facts

NPI
1538366505
Type
Individual
Enumerated
Jul 2, 2007
Last Updated
Jul 8, 2007

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