Individual
ANDRE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
956 E TABOR AVE, FAIRFIELD, CA 94533-4104
(707) 422-9345
(707) 422-2910
Mailing address
2800 DOVER AVE, APT. G5, FAIRFIELD, CA 94533-1474
(707) 688-2120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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