Individual
ANTHONY SANTILLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3510 COTTONTAIL LN, CASPER, WY 82604-4331
(307) 247-3344
Mailing address
PO BOX 677, EVANSVILLE, WY 82636-0677
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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