Individual
ALPHA ELLIOTT ANTHAMATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 BUCCANEER DR, ABILENE, TX 79605-3735
(325) 695-1745
(325) 695-1745
Mailing address
1306 BUCCANEER DR, ABILENE, TX 79605-3735
(325) 695-1745
(325) 695-1745
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
02/10/2012
Last updated
12/14/2015
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