Individual
ANTHONY INN OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 S MILPITAS BLVD, MILPITAS, CA 95035-5473
(408) 945-5084
Mailing address
611 S MILPITAS BLVD, MILPITAS, CA 95035-5473
(408) 945-5084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62689
CA
Other
Enumeration date
09/10/2008
Last updated
11/26/2016
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