Individual
ANTELIA CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E MAIN ST STE 600, OTHELLO, WA 99344-1146
(509) 488-5611
Mailing address
425 E MAIN ST STE 600, OTHELLO, WA 99344-1146
(509) 488-5611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/03/2018
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