Individual
ANTHONY ON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3660 PARK SIERRA DR STE 110, RIVERSIDE, CA 92505-3071
(951) 637-9935
(951) 637-0608
Mailing address
3660 PARK SIERRA DR STE 110, RIVERSIDE, CA 92505-3071
(951) 637-9935
(951) 637-9935
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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